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NPI Code Detail

MEDICARE: STEVEN WAYNE SAMUELSON MD

MEDICARE: STEVEN WAYNE SAMUELSON MD
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
1207W00000XOphthalmology Physician18080NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649273061
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN WAYNE SAMUELSON MD
Provider Business Mailing Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number : 402-721-2473
Provider Business Practice Location Address
First Line : 2827 N CLARKSON ST
Second Line :
City : FREMONT
State : NE
Zip : 68025-7714
Country : US
Telephone Number : 402-721-7222
Fax Number : 402-721-2473
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 01/28/2008

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Directions to “ STEVEN WAYNE SAMUELSON MD” Practice Location

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