Doctor Name: | DR. MARY JANE BETTERMAN |
NPI Number: | 1710962386 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | 21910 |
Business Practice Address: | 301 N 11th St Nebraska City, NE - 684102031 |
Business Phone Number: | 9525951100 |
Business Fax Number: | 6122944903 |
Mailing Address: | 11995 Singletree Ln, Suite 500 EDEN PRAIRIE |
State: | MN |
Postal Code: | 553445347 |
Phone Number: | 9525951301 |
Fax Number: | 6122944903 |
NPI Enumeration Date: | 12/07/2005 |
NPI Last Update Date: | 06/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 21910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |