Individual
RICK J WINDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 S 17TH ST, SUITE 303, LINCOLN, NE 68502-3713
(402) 476-6626
(402) 476-1614
Mailing address
3152 S 25TH ST, LINCOLN, NE 68502-4920
(402) 430-6425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15659
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47072366813
—
NE
Enumeration date
11/16/2005
Last updated
05/02/2022
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