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NPI 1699763938 · live from the CMS NPI Registry

Donald Eugene Buddecke, DPM

Podiatrist in Bellevue, NE. National Provider Identifier 1699763938, active.

NPI record

NPI1699763938 Type 1 · individual
StatusActive
Primary specialtyPodiatrist 213E00000X
Practice location2705 Samson Way, Bellevue, NE 68123
Practice phone402-991-8999
EnumeratedOctober 11, 2005
Last updatedSeptember 20, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Podiatrist, Foot & Ankle Surgery213ES0103X00675 (IA)
Podiatrist, Foot & Ankle Surgery213ES0103X301 (NE)
Podiatrist primary213E00000X301 (NE)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.