Provider Demographics
NPI:1750470423
Name:MILIUS GIBBENS FRIESEN HATTAN MARTIN & RAUNER, LLP
Entity Type:Organization
Organization Name:MILIUS GIBBENS FRIESEN HATTAN MARTIN & RAUNER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-475-8877
Mailing Address - Street 1:1600 S 48TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-1275
Mailing Address - Country:US
Mailing Address - Phone:402-475-8877
Mailing Address - Fax:402-475-8941
Practice Address - Street 1:1600 S 48TH ST
Practice Address - Street 2:SUITE 400
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-1275
Practice Address - Country:US
Practice Address - Phone:402-475-8877
Practice Address - Fax:402-475-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty