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Contact Information

MICHAEL D DEWALD, MD
7601 PIONEERS BLVD
LINCOLN, NE68506-4675
 Phone: 402-484-6677
 Fax: 402-484-4476
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Neuroradiology

2085N0700X
Indicates primary specialty

NPI Profile & details for MICHAEL D DEWALD · (Male)

NPI # 1164486528
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 11/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NE License # 19716
  • NE Medicaid 47078180813
  • NE Other 273366 AMI MEDICARE PIN
  • NE Other NA1330010 SMI MEDICARE PIN
Hospital affiliation(s)
  • BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC - (Critical Access)
    P O BOX 278, 4800 HOSPITAL PARKWAY
    BEATRICE, NE 68310
  • COMMUNITY MEDICAL CENTER INC - (Critical Access)
    P O BOX 399, 3307 BARADA ST
    FALLS CITY, NE 68355
  • PHELPS MEMORIAL HEALTH CENTER - (Critical Access)
    1215 TIBBALS ST
    HOLDREGE, NE 68949
  • VALLEY COUNTY HEALTH SYSTEM - (Critical Access)
    2707 L STREET
    ORD, NE 68862
  • YORK GENERAL HOSPITAL - (Critical Access)
    2222 LINCOLN AVE
    YORK, NE 68467
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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