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NPI Code Detail

MEDICARE: DR. DONALD C MANTZ MD

MEDICARE:  DR. DONALD C MANTZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician16670NE

General Provider Information

NPI Number : 1639175003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD C MANTZ MD
Provider Business Mailing Address
First Line : 7100 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68106-2714
Country : US
Telephone Number : 402-506-9055
Fax Number : 402-315-2732
Provider Business Practice Location Address
First Line : 7100 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68106-2714
Country : US
Telephone Number : 402-506-9055
Fax Number : 402-315-2732
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/07/2018

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Directions to “ DR. DONALD C MANTZ MD” Practice Location

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