Provider Demographics
NPI:1861776908
Name:GATZ, EDWARD ERWIN II (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ERWIN
Last Name:GATZ
Suffix:II
Gender:M
Credentials:MD, PHD
Other - Prefix:MRS
Other - First Name:HELEN
Other - Middle Name:JEANNE
Other - Last Name:GATZ
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:BS,BA
Mailing Address - Street 1:10029 FREDERICK ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-2650
Mailing Address - Country:US
Mailing Address - Phone:402-393-9545
Mailing Address - Fax:
Practice Address - Street 1:10029 FREDERICK ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-2650
Practice Address - Country:US
Practice Address - Phone:402-393-4394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13218207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine