NPI 1700378577

Brock Carl Harnisch

Practitioner Radiation Oncology Physician Fremont, NE

Practice location

Address: 2230 E 12th St, Fremont, NE 68025-1610
Phone: (312) 375-4601
Mailing address: 9089 Clairemont Mesa Blvd STE 200, San Diego, CA 92123-1225

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X Licence 1476109 (IN)

Other Radiology providers in Nebraska →

Registry record

NPI: 1700378577
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2018
Record last updated: 6 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.