Individual
DR. SUSAN L FELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHILDREN'S HOSPITAL - INPATIENT CARE SERVICE, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-4498
(402) 955-3470
Mailing address
CHILDREN'S HOSPITAL, 8200 DODGE STREET, OMAHA, NE 68114-4113
(402) 955-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22705
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35813
BCBS
NE
05
—
3595553
—
IA
Enumeration date
11/29/2006
Last updated
07/08/2007
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