Minnechaduza Medical Clinic P.c.

NPI #1285862359 in Valentine, Nebraska

Provider Information

NPI Number: 1285862359
Entity Type: Organization
Organization Name: Minnechaduza Medical Clinic P.c.
Primary Specialty: Pediatrics
Enumeration Date: Jun 29, 2009
Last Updated: Jun 29, 2009

Practice Location

Address: 148 E 1ST ST
Address 2: SUITE 400
City: Valentine
State: Nebraska
ZIP Code: 69201-1802
Phone: (402) 376-1368

Authorized Official

Name: DR. TIMOTHY W RYSCHON, M.D.
Title: OWNER/MEDICAL DIRECTOR
Phone: (402) 389-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Physician Assistant	363A00000X

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