Provider Demographics
NPI:1699039826
Name:RATHJE, CLINTON ALLAN (DO)
Entity type:Individual
Prefix:DR
First Name:CLINTON
Middle Name:ALLAN
Last Name:RATHJE
Suffix:
Gender:
Credentials:DO
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Mailing Address - Street 1:1101 S 70TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4293
Mailing Address - Country:US
Mailing Address - Phone:402-483-4292
Mailing Address - Fax:855-895-6489
Practice Address - Street 1:1101 S 70TH ST STE 100
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4293
Practice Address - Country:US
Practice Address - Phone:402-483-4292
Practice Address - Fax:855-895-6489
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE1636208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery