Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 21641 | NE |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 21641 | NE |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 21641 | NE |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 21641 | NE |
NPI | 1487695086 |
---|---|
Provider Name | Dr. David Mark Huebner |
First Address | Kearney, NE 68845-2909 |
Second Address | Kearney, NE 68845-2909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 25/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G81609 | (02) |