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CONNIE S MICEK M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1215984695

Individual Registrant:
 CONNIE S MICEK M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
405 W DARLENE ST  HARTINGTON, NE 68739-4806 US
Tel: 402-254-3935  Fax: 402-254-2393

Contact information for business:
PO BOX 937  HARTINGTON, NE 68739-0937 US
Tel: 402-254-3935  Fax: 402-254-2393

Registration Information:
NPI: 1215984695
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
NE20035

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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