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Individual

DR. DONALD JOSEPH WALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C., 575 S. 70TH SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172
Mailing address
NEBRASKA ORTHOPAEDIC AND SPORTS MEDICINE P.C., 575 S. 70TH SUITE 200, LINCOLN, NE 68510-2471
(402) 488-3322
(402) 488-1172

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13947
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47070309913
NE
Enumeration date
05/09/2006
Last updated
09/23/2008
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