Female

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)

Code

335E00000X

Primary Taxonomy

Yes

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

Provider Address