Organization
FREDERICK A. MAUSOLF, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A MAUSOLF (OWNER)
(402) 486-4269
Entity
Organization
Contact information
Practice address
4645 NORMAL BLVD STE 245, LINCOLN, NE 68506-5823
(402) 486-4269
(402) 486-1038
Mailing address
4645 NORMAL BLVD STE 245, LINCOLN, NE 68506-5823
(402) 486-4269
(402) 486-1038
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
14776
NE
Other
Enumeration date
08/29/2007
Last updated
10/31/2007
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