Provider Demographics
NPI:1750356168
Name:CLEMMER, ROBIN R (MD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:R
Last Name:CLEMMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4239 FARNAM ST
Mailing Address - Street 2:SUITE 734
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2868
Mailing Address - Country:US
Mailing Address - Phone:402-552-2700
Mailing Address - Fax:402-552-2709
Practice Address - Street 1:4239 FARNAM ST
Practice Address - Street 2:SUITE 734
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2868
Practice Address - Country:US
Practice Address - Phone:402-552-2700
Practice Address - Fax:402-552-2709
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2011-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NE17767207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE275478Medicare ID - Type Unspecified
NEE41059Medicare UPIN