Individual
RICHARD ALLEN CRUSINBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Mailing address
5500 PINE LAKE RD, LINCOLN, NE 68516-3389
(402) 489-8888
(402) 421-1945
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19017
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06066
BLUE CROSS BLUE SHIELD
—
01
—
1256
MIDLANDS CHOICE
—
01
—
1900050
UNITED HEALTH CARE
—
01
—
340006941
RR MEDICARE
—
05
—
7714370
—
SD
Enumeration date
07/26/2006
Last updated
11/12/2009
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