Wallace Cary Peterson JR., MD - Lincoln, NE

Wallace Cary Peterson JR., MD

Hematology & Oncology Physician in Lincoln, Nebraska

NPI 1760472039

Wallace Cary Peterson JR. is a Hematology & Oncology Physician based in Lincoln, NE and is specialized in Hematology & Oncology. Wallace Cary Peterson JR. practices in Lincoln, NE and has the professional credentials of MD. The NPI Number for Wallace Cary Peterson JR. is 1760472039 and holds a License No. 16442 (Nebraska).

The current practice location address for Wallace Cary Peterson JR. is 4101 Tiger Lily Rd Ste 100, Lincoln, NE and can be reached out via phone at 402-420-7000 and via fax at 402-420-6969.

Location: 4101 Tiger Lily Rd Ste 100, Lincoln, NE, 68516-5587

NPI Number

1760472039

Provider Name

Wallace Cary Peterson JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

4101 Tiger Lily Rd Ste 100, Lincoln, NE, 68516-5587

Phone Number

402-420-7000

Fax Number

402-420-6969

Provider Enumeration Date

10/26/2005

Last Update Date

04/13/2024

Identifier	Type	State	Issuer
200000870A	05	KS
32276	01	NE	BCBS
3600017	01	NE	UHC
1242	01	NE	MIDLANDS CHOICE

Address

4101 Tiger Lily Rd Ste 100

City

Lincoln

State

Nebraska

Zip

68516-5587

Phone Number

402-420-7000

Fax Number

402-420-6969

Address

4101 Tiger Lily Rd Ste 100

City

Lincoln

State

Nebraska

Zip

68516-5587

Phone Number

402-420-7000

Fax Number

402-420-6969

Type

Allopathic & Osteopathic Physicians

Classification

Internal Medicine

Speciality

Hematology & Oncology

Taxonomy

207RH0003X

License No.

16442 (Nebraska)

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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