Individual
DR. ROBERT W. WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 N COLUMBIA AVE, SEWARD, NE 68434-2226
(402) 643-4800
(402) 646-4635
Mailing address
250 N COLUMBIA AVE, SEWARD, NE 68434-2226
(402) 646-4622
(402) 646-4635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19524
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101831
UNITEDHEALTHCARE
NE
01
—
35215
BCBS OF NEBRASKA
NE
01
—
5953
MIDLANDS CHOICE
NE
Enumeration date
11/03/2006
Last updated
12/14/2012
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