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Individual
DR. DONALD EUGENE BUDDECKE JR.
Active
Individual
DR. DONALD EUGENE BUDDECKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
301
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
00675
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025518000
—
NE
05
—
10025518100
—
NE
05
—
10025518200
—
NE
05
—
10025640100
—
NE
01
—
1427348838
GROUP NPI, NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
NE
Enumeration date
10/11/2005
Last updated
09/20/2018
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