Stacey M Nellen-Kolze

NPI #1477892412 in Green Bay, Wisconsin

Provider Information

NPI Number
1477892412
Entity Type
Individual
Name
Stacey M Nellen-Kolze
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 12, 2013
Last Updated
Feb 12, 2013

Practice Location

Address
2031 S WEBSTER AVE
Address 2
SUITE B
ZIP Code
54301-2257
Phone
(920) 393-4912

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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