Individual
DOUGLAS J WINJUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7121 STEPHANIE LN, STE 100, LINCOLN, NE 68516-5359
(402) 420-3500
Mailing address
PO BOX 7239, LOVELAND, CO 80537-0239
(402) 489-9400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20719
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521021
—
IA
05
—
100313450A
—
KS
01
—
300086696
RR MEDICARE
NE
01
—
32295
BLUE CROSS BLUE SHIELD
NE
05
—
7783110
—
SD
Enumeration date
05/20/2006
Last updated
10/19/2011
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