Provider Demographics
NPI:1629024484
Name:SETTJE, GARY L (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:L
Last Name:SETTJE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2116 W FAIDLEY AVE
Mailing Address - Street 2:STE 400
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-4671
Mailing Address - Country:US
Mailing Address - Phone:308-381-0162
Mailing Address - Fax:308-389-4445
Practice Address - Street 1:2116 W FAIDLEY AVE
Practice Address - Street 2:STE 400
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-4671
Practice Address - Country:US
Practice Address - Phone:308-381-0162
Practice Address - Fax:308-389-4445
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NE15282207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEAS9238975OtherDEA
NEB90807Medicare UPIN
NE097421Medicare ID - Type Unspecified