Individual
DR. ROBERT E MABEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 S 70TH ST, STE 310, LINCOLN, NE 68510-2471
(402) 441-4760
(402) 441-4764
Mailing address
575 S 70TH ST, STE 310, LINCOLN, NE 68510-2471
(402) 441-4760
(402) 441-4764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
21228
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01323
BCBS PROVIDER ID
NE
01
—
1700238
UHC PROVIDER ID
NE
05
—
47056191312
—
NE
01
—
68510A005
TRIWEST PROVIDER ID
NE
Enumeration date
05/24/2005
Last updated
07/09/2007
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