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Organization

BASLER SKIN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RODNEY SW BASLER MD (OWNER/PHYSICIAN)
(402) 421-3335
Entity
Organization

Contact information

Practice address
2625 STOCKWELL ST, LINCOLN, NE 68502-5755
(402) 421-3335
(402) 421-2625
Mailing address
2625 STOCKWELL ST, LINCOLN, NE 68502-5755
(402) 421-3335
(402) 421-2625

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NP0225X
Pediatric Dermatology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
09/20/2006
Last updated
04/28/2015
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