Individual
DR. DOUGLAS P TEWES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 A ST, STE 100, LINCOLN, NE 68510-4120
(402) 436-2000
(402) 436-2090
Mailing address
6900 A ST, STE 100, LINCOLN, NE 68506-4120
(402) 436-2000
(402) 434-2691
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19139
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
19139
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295
MIDLANDS CHOICE
NE
01
—
200029006
RAILROAD MEDICARE
NE
01
—
31783
BCBS OF NEBRASKA
NE
01
—
91177983268510A007
TRI CARE
NE
Enumeration date
02/17/2006
Last updated
09/29/2019
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