Individual
ROALENE J REDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17030 LAKESIDE HILLS PLZ STE 127, OMAHA, NE 68130-2396
(402) 758-5250
(402) 758-5255
Mailing address
17030 LAKESIDE HILLS PLZ STE 127, OMAHA, NE 68130-2396
(402) 758-5250
(402) 758-5255
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17170
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06181
BCBS NEBRASKA
NE
05
—
1106963
—
IA
01
—
14968
BCBS IOWA
IA
01
—
17-00081
SHARE ADVANTAGE/IMMANUEL
NE
01
—
17-01083
SHARE ADVANTAGE/LAKESIDE
NE
01
—
264919460
TRICARE
NE
05
—
47076756913
—
NE
01
—
7583
MIDLANDS CHOICE
NE
Enumeration date
08/09/2006
Last updated
02/28/2019
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