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Individual

DR. ROBERT A VANDE GUCHTE

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 68510-4120
(402) 436-2000
(402) 434-2691

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20521
NE
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
20521
NE
207XX0801X
Orthopaedic Trauma Physician
20521
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03272
BCBS OF NEBRASKA
NE
01
200029005
RAILROAD MEDICARE
NE
01
314
MIDLANDS CHOICE
NE
01
91177983268510A010
TRI CARE
NE
Enumeration date
02/17/2006
Last updated
09/29/2019
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