Individual
SEAN MULLENDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3308 SAMSON WAY, SUITE 101, BELLEVUE, NE 68123-3194
(402) 827-1577
(402) 898-3134
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 717-4377
(402) 717-4317
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
21562
NE
Other
Enumeration date
08/30/2005
Last updated
09/04/2008
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