Individual
DR. STEPHEN C PAPENFUSS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4242 FARNAM ST, STE 360, OMAHA, NE 68131-2850
(402) 552-2555
(402) 552-2573
Mailing address
4242 FARNAM ST, STE 360, OMAHA, NE 68131-2850
(402) 552-2555
(402) 552-2573
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13126
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001967
BLUE SHIELD
NE
01
—
02769
BLUE SHIELD
NE
01
—
0300004
UNITED HEALTH CARE
NE
05
—
0942417
—
IA
05
—
47062325613
—
NE
01
—
501880
BLUE SHIELD
PA
05
—
7786450
—
SD
01
—
94241
BLUE SHIELD
IA
05
—
PA501592
—
KS
Enumeration date
06/13/2005
Last updated
07/09/2007
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