Provider Demographics
NPI:1801883293
Name:BLEICHER, STACIE R (MD)
Entity type:Individual
Prefix:
First Name:STACIE
Middle Name:R
Last Name:BLEICHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7441 O ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2468
Mailing Address - Country:US
Mailing Address - Phone:402-483-6036
Mailing Address - Fax:402-483-6294
Practice Address - Street 1:7441 O ST
Practice Address - Street 2:SUITE 303
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-2468
Practice Address - Country:US
Practice Address - Phone:402-483-6036
Practice Address - Fax:402-483-6294
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE16292208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics