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Individual

DALLAS D SCHLEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
4501 S 70TH ST, SUITE 110, LINCOLN, NE 68516-4282
(402) 489-3834
(402) 489-5049
Mailing address
4501 S 70TH ST, SUITE 110, LINCOLN, NE 68516-4282
(402) 489-3834
(402) 489-5049

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
40
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2554
MIDLANDS CHOICE
NE
01
37336
BLUE CROSS BLUE SHIELD
NE
05
47049487112
NE
Enumeration date
06/30/2006
Last updated
10/22/2007
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