Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 55797 | NE |
Y | 2086S0105X | Surgery of the Hand | 28149 | NE |
NPI | 1811209596 |
---|---|
Provider Name | Philipp Nicolas Streubel |
First Address | Omaha, NE 68198-8102 |
Second Address | Omaha, NE 68198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2010 |
Last Update Date | 09/08/2018 |