Healthcare Provider Details

I. General information

NPI: 1548764160
Provider Name (Legal Business Name): DAVID REZIN MANN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983285 NEBRASKA MEDICAL CTR
OMAHA NE
68198-3285
US

IV. Provider business mailing address

983285 NEBRASKA MEDICAL CTR
OMAHA NE
68198-3285
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-5000
  • Fax: 402-559-3434
Mailing address:
  • Phone: 402-559-5000
  • Fax: 402-559-3434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number10462
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: