Healthcare Provider Details

I. General information

NPI: 1386607182
Provider Name (Legal Business Name): MICHAEL D HUFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 04/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 S 56TH ST STE 2
LINCOLN NE
68516-1884
US

IV. Provider business mailing address

5200 S 56TH ST STE 2
LINCOLN NE
68516-1884
US

V. Phone/Fax

Practice location:
  • Phone: 402-421-6200
  • Fax: 402-421-6070
Mailing address:
  • Phone: 402-486-7027
  • Fax: 402-434-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number17218
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: