Stefanie L Bolte

NPI #1104877018 in Omaha, Nebraska

Provider Information

NPI Number: 1104877018
Entity Type: Individual
Name: Stefanie L Bolte
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Enumeration Date: May 15, 2006
Last Updated: Mar 27, 2013

Practice Location

Address: 10707 PACIFIC ST
Address 2: SUITE 101
City: Omaha
State: Nebraska
ZIP Code: 68114-4762
Phone: (402) 397-7989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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