Provider Demographics
NPI:1255594321
Name:VOLKMER, DUSTIN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:LEE
Last Name:VOLKMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DUSTIN
Other - Middle Name:
Other - Last Name:VOLKMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4508 38TH ST
Mailing Address - Street 2:SUITE 133
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-1668
Mailing Address - Country:US
Mailing Address - Phone:402-562-4700
Mailing Address - Fax:402-562-4701
Practice Address - Street 1:4508 38TH ST
Practice Address - Street 2:SUITE 133
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1668
Practice Address - Country:US
Practice Address - Phone:402-562-4700
Practice Address - Fax:402-562-4701
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-050764207X00000X
NE26693207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery