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NPI Code Detail

MEDICARE: LEVI MAHNKE

MEDICARE: LEVI MAHNKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCPSS-380NE

General Provider Information

NPI Number : 1154263630
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEVI MAHNKE
Provider Business Mailing Address
First Line : 7929 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-3104
Country : US
Telephone Number : 402-441-7940
Fax Number : 402-441-8491
Provider Business Practice Location Address
First Line : 1420 E MILITARY AVE
Second Line :
City : FREMONT
State : NE
Zip : 68025-5300
Country : US
Telephone Number : 402-441-7940
Fax Number : 402-441-8491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ LEVI MAHNKE ” Practice Location

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