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Contact Information

RYAN ANTONAWICH, DO
983075 NEBRAKSA MEDICAL CENTER
OMAHA, NE68198-2151
 Phone: 402-559-0268
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for RYAN ANTONAWICH · (Male)

NPI Number 1194454868
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/08/2022
Last updated 04/23/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101027619
  • MI License # 5151015844
  • NE License # 10177
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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