Park Street Medical Clinic Pc | |
505 South Park Street Genoa NE 68640 | |
(402) 993-2206 | |
(402) 993-2595 |
Full Name | Park Street Medical Clinic Pc |
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Speciality | Family Medicine |
Location | 505 South Park Street, Genoa, Nebraska |
Authorized Official Name and Position | Brian K. Buhlke (OWNER) |
Authorized Official Contact | 4029932206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Park Street Medical Clinic Pc Po Box 310 505 South Park Street Genoa NE 68640 Ph: (402) 993-2206 | Park Street Medical Clinic Pc 505 South Park Street Genoa NE 68640 Ph: (402) 993-2206 |
NPI Number | 1790086999 |
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Provider Enumeration Date | 11/04/2010 |
Last Update Date | 11/04/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790086999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
City Of Genoa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 S Park St, Genoa, NE 68640 Phone: 402-993-2206 Fax: 402-993-2595 | |
Park Street Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 S Park St, Genoa, NE 68640 Phone: 402-993-2205 Fax: 402-993-2595 |