| Dr Dusty Lynn Broxterman, DPM | |
|
620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 | |
| (308) 381-0404 | |
| Not Available |
| Full Name | Dr Dusty Lynn Broxterman |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 620 N Diers Ave Ste 100, Grand Island, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376126250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 398 (Nebraska) | Primary |
| Provider Name | Foot & Ankle Clinic Of Central Nebraska Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134162910 PECOS PAC ID: 2264435569 Enrollment ID: O20060804000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dusty Lynn Broxterman, DPM Po Box 5020, Grand Island, NE 68802-5020 Ph: (308) 381-0404 | Dr Dusty Lynn Broxterman, DPM 620 N Diers Ave Ste 100, Grand Island, NE 68803-4985 Ph: (308) 381-0404 |
Dr. Jonathan B Wilson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 | |
James E Lewandowski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 | |
Dr. Corey S. Blackburn, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1932 Aspen Cir Ste A, Grand Island, NE 68803 Phone: 308-646-0077 Fax: 308-646-0317 | |
Kevin J Larsen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 620 N Diers Ave Ste 100, Grand Island, NE 68803 Phone: 308-381-0404 Fax: 308-381-0408 | |
James E Lewandowski Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 820 W Division St, Grand Island, NE 68801 Phone: 308-381-7262 Fax: 308-381-4672 | |
Philip B Sextro, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 620 Diers Ave, Grand Island, NE 68802 Phone: 308-381-0404 Fax: 308-381-0408 |