Timothy Blecha, MD
Family Medicine in Superior, NE. Individual provider (NPI-1).
NPI number1790777936
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1790777936
- Entity type
- Individual (NPI-1)
- Name
- Mr. Timothy Blecha
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2005
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 15972 | NE | Yes |
| 174400000X | Specialist | 15972 | NE | |
| 207P00000X | Emergency Medicine | 15972 | NE |
Practice location
525 E 11th StSuperior, NE 68978-1101
Phone 402-879-4781 · Fax 402-879-3365
Mailing address
Po Box 407525 E 11th St
Superior, NE 68978-0407
Phone 402-879-4781
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Other Family Medicine Physician providers in Superior, NE
- Raymond D. Heller, M.D.NPI 1124137039
- Robert G Leibel, M.D.NPI 1578540126
- Julie A Theis, M.D.NPI 1295712842
- April R Vonderfecht, MDNPI 1265178453
All 5 Family Medicine Physician providers in Superior · All 113 providers in Superior
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