Healthcare Provider Details

I. General information

NPI: 1104277128
Provider Name (Legal Business Name): STEVEN T. WAHLMEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 S 70TH ST STE 200
LINCOLN NE
68510-2471
US

IV. Provider business mailing address

575 S 70TH ST STE 200
LINCOLN NE
68510-2471
US

V. Phone/Fax

Practice location:
  • Phone: 402-436-2000
  • Fax:
Mailing address:
  • Phone: 402-436-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number34652
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34652
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: