Provider Demographics
NPI:1114153384
Name:LINDAU, BRETT R (DO)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:R
Last Name:LINDAU
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 690
Mailing Address - Street 2:
Mailing Address - City:BROKEN BOW
Mailing Address - State:NE
Mailing Address - Zip Code:68822
Mailing Address - Country:US
Mailing Address - Phone:308-872-2486
Mailing Address - Fax:308-872-2938
Practice Address - Street 1:145 MEMORIAL DRIVE
Practice Address - Street 2:
Practice Address - City:BROKEN BOW
Practice Address - State:NE
Practice Address - Zip Code:68822
Practice Address - Country:US
Practice Address - Phone:308-872-2486
Practice Address - Fax:308-872-2938
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0049425207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine