Individual
SUZANNE M. VANDENHUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4333 S 86TH ST, LINCOLN, NE 68526-9260
(402) 483-8500
(402) 483-8501
Mailing address
2222 S 16TH ST, SUITE 400A, LINCOLN, NE 68502-3796
(402) 483-8590
(402) 483-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22281
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00455
BCBS
NE
01
—
01-03824
UHC
—
01
—
01-05357
UHC
NE
01
—
237614
MIDLANDS CHOICE
—
05
—
470780857 32
—
NE
05
—
47078085732
—
NE
Enumeration date
08/03/2006
Last updated
03/17/2021
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