Individual
MICHAEL A PACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 PINE LAKE RD, SUITE 220, LINCOLN, NE 68516-5497
(402) 421-3240
(402) 423-0739
Mailing address
PO BOX 6971, LINCOLN, NE 68506-0971
(402) 421-3240
(402) 423-0739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21148
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-00765
UHC
NE
01
—
04203
BCBS
NE
05
—
0726315
—
IA
01
—
11244
MIDLAND'S CHOICE
NE
01
—
35448
BCBS
NE
05
—
91182900813
—
NE
Enumeration date
08/10/2006
Last updated
03/02/2021
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