Peetz, Dwaine J

Peetz, Dwaine J is an individual health care provider with primary practice located at 7710 Mercy Rd Suite 332, Omaha NE 68124-2372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Peetz, Dwaine J can be contacted via phone (402) 827-5500.

Contact Information

Primary practice address
7710 Mercy Rd Suite 332 Omaha NE 68124-2372
Phone: (402) 827-5500
Fax: (402) 827-6601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 13128 Nebraska

Profile Details

NPI number 1528080348
LBN Legal business name Peetz, Dwaine J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528080348 NPPES
Nebraska MEDICAID 10025307000

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