Provider First Line Business Practice Location Address:
2115 N KANSAS AVE
Provider Second Line Business Practice Location Address:
MIDWEST EAR NOSE & THROAT SPECIALISTS PC
Provider Business Practice Location Address City Name:
HASTINGS
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68901-2644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-463-2431
Provider Business Practice Location Address Fax Number:
402-463-2486
Provider Enumeration Date:
12/28/2005