Individual
JUSTIN C SIEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4014 LEAVENWORTH ST, OMAHA, NE 68105-1053
(402) 559-8000
(402) 559-8746
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25574
NE
207X00000X
Orthopaedic Surgery Physician
ME103289
FL
207XX0801X
Orthopaedic Trauma Physician
25574
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816000
—
FL
01
—
21005
BCBS
FL
01
—
329933
AVMED
FL
01
—
3340485
CIGNA
FL
01
—
9611305
AETNA
FL
01
—
P00822317
MEDICARE RAILROAD
FL
Enumeration date
04/22/2007
Last updated
04/16/2018
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