Individual
DR. SHANNON R STEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6509
(402) 498-6357
Mailing address
555 N 30TH ST, OMAHA, NE 68131-2136
(402) 498-6509
(402) 498-6357
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17829
NE
207LP3000X
Pediatric Anesthesiology Physician
17829
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01758
BCBS BT
NE
05
—
100254649-00
—
NE
01
—
2000256
AMERICHOICE
NE
05
—
3505099
—
IA
01
—
3573
MIDLANDS CHOICE
NE
Enumeration date
01/11/2007
Last updated
07/13/2007
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