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NPI Verification

National Provider Identifier: 1972864114

Derrick Antoniak, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

EMILE @ 42ND ST

OMAHA, NE 681983003

Phone: 402-552-6731

NPI Enumeration Date

June 5, 2012

NPI Number

1972864114

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry