Individual
DAVID BRIAN WILTFONG
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
20738
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01240
BLUE CROSS BLUE SHIELD
—
05
—
0230045
—
IA
05
—
100406410A
—
KS
01
—
1900097
UNITED HEALTH CARE
—
05
—
200396660A
—
IN
01
—
340015315
RR MEDICARE
—
01
—
7582
MIDLANDS CHOICE
—
Enumeration date
07/26/2006
Last updated
01/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us