Individual
DR. DONALD EUGENE BUDDECKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2705 SAMSON WAY, BELLEVUE, NE 68123-4307
(402) 991-8999
(402) 331-6537
Mailing address
2705 SAMSON WAY, BELLEVUE, NE 68123-4307
(402) 331-6387
(402) 331-6537
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
301
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
00675
IA
213ES0103X
Foot & Ankle Surgery Podiatrist
301
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025518000
—
NE
05
—
10025518100
—
NE
05
—
10025518200
—
NE
05
—
10025640100
—
NE
01
—
1427348838
GROUP NPI, NEBRASKA LOWER EXTREMITY SURGERY GROUP, LLC
NE
Enumeration date
10/11/2005
Last updated
09/20/2018
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