Individual
SUSAN C OHNOUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3531
(402) 413-3535
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3531
(402) 413-3535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22668
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096555014
MEDICARE
NE
Enumeration date
08/03/2006
Last updated
03/12/2015
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