Individual
DR. DOLF R ICHTERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
716 N ALPHA ST, GRAND ISLAND, NE 68803-4318
(308) 389-3312
(308) 389-3390
Mailing address
716 N ALPHA ST, GRAND ISLAND, NE 68803-4318
(308) 389-3312
(308) 389-3390
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
218344310
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07250
BCBS PROVIDER ID
NE
01
—
200036906
RR MEDICARE PROVIDER ID
NE
05
—
47082696900
—
NE
Enumeration date
09/27/2006
Last updated
07/09/2007
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