Stacey M. Nellen-kolze
Prosthetic/Orthotic Supplier in Green Bay, WI(View on Map)
Full Name
Stacey M Nellen-kolze
NPI Number
1477892412
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/12/2013
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
456-1026562299-04
Contact
Information
Purpose
Mailing
Location
Address
2031 S WEBSTER AVE
2031 S WEBSTER AVE
City
Green Bay
Green Bay
State
WI
WI
Postal Code
54301-2257
54301-2257
Country
US
US
Telephone Number
(920) 393-4912
(920) 393-4912
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/12/2013