Gothenburg Family Practice Rural Health Clinic LLC
NPI #1639401508 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1639401508
- Entity Type
- Organization
- Organization Name
- Gothenburg Family Practice Rural Health Clinic LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 3, 2010
- Last Updated
- Apr 13, 2012
Practice Location
- Address
- 918 20TH STREET
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-1237
- Phone
- (308) 537-7131
Authorized Official
- Name
- GERALD E MATZKE JR., M.D.
- Title
- PARTNER
- Phone
- (308) 537-7131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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