Individual provider · NPI-1

Dr. Edward M Mantler, M.D.

Family Medicine · Papillion, NE

NPI number1811926041
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1811926041
Entity type
Individual (NPI-1)
Name
Dr. Edward M Mantler
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine20693NEYes

Practice location

555 Fortune Dr
Papillion, NE 68046-3421

Phone 402-502-3600 · Fax 402-502-3606

Mailing address

555 Fortune Dr
Papillion, NE 68046-3421

Phone 402-502-3600 · Fax 402-502-3606

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