Individual
DR. THOMAS SCOTT STALDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207RI0200X
Infectious Disease Physician
Primary
16935
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096555013
MEDICARE
NE
05
—
47043959911
—
NE
Enumeration date
09/15/2005
Last updated
02/19/2015
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