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NPI 1164475729 · live from the CMS NPI Registry

Dawn M Bodnar, MD

Internal Medicine, Cardiovascular Disease in Omaha, NE. National Provider Identifier 1164475729, active.

NPI record

NPI1164475729 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine, Cardiovascular Disease 207RC0000X
Practice location7500 Mercy Rd, Omaha, NE 68124
Practice phone402-398-5880
Mailing address7261 Mercy Rd, Omaha, NE 68124
EnumeratedMay 17, 2006
Last updatedFebruary 9, 2017
Sole proprietorNo
Other namesDawn Hagen

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine, Cardiovascular Disease primary207RC0000X22001 (NE)
Internal Medicine, Cardiovascular Disease207RC0000X36044 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.