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Individual

DR. STEVEN DALE MEINHOLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
11334 ELM ST, OMAHA, NE 68144-4733
(402) 315-3338
(402) 933-5989
Mailing address
PO BOX 7, WATERLOO, NE 68069-0007
(402) 630-9985

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
187
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025688000
NE
01
6205350001
MEDICARE NAS
01
NA1159001
MEDICARE INDIVIDUAL PTAN
Enumeration date
10/17/2006
Last updated
03/28/2023
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