Provider Demographics
NPI:1477603199
Name:EPPEL, MICHAEL NEIL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:NEIL
Last Name:EPPEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6900 L ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2478
Mailing Address - Country:US
Mailing Address - Phone:402-441-5619
Mailing Address - Fax:402-441-5606
Practice Address - Street 1:1730 S 70TH STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506
Practice Address - Country:US
Practice Address - Phone:402-441-5600
Practice Address - Fax:402-441-5606
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE15694207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEB75638Medicare UPIN