NPI 1629207261 · live from the CMS NPI Registry
Jeffrey C Wienke, DPM CWSP
Podiatrist, Foot & Ankle Surgery in Lincoln, NE. National Provider Identifier 1629207261, active.
NPI record
| NPI | 1629207261 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist, Foot & Ankle Surgery 213ES0103X |
| Practice location | 1150 N 83rd St, Lincoln, NE 68505 |
| Practice phone | 402-483-4485 |
| Enumerated | July 3, 2009 |
| Last updated | August 16, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 206 (SD) |
| Podiatrist | 213E00000X | 000820 (IA) |
| Podiatrist, Foot & Ankle Surgery primary | 213ES0103X | 345 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.