Park Street Medical Clinic PC

NPI #1790086999 in Genoa, Nebraska

Provider Information

NPI Number
1790086999
Entity Type
Organization
Organization Name
Park Street Medical Clinic PC
Primary Specialty
Family Medicine
Enumeration Date
Nov 4, 2010
Last Updated
Nov 4, 2010

Practice Location

Address
505 SOUTH PARK STREET
City
Genoa
ZIP Code
68640
Phone
(402) 993-2206

Authorized Official

Name
MR. BRIAN K. BUHLKE, D.O.
Title
OWNER
Phone
(402) 993-2206

Specialties & Taxonomy Codes

Specialty
Family Medicine

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