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Stacey M Nellen-kolze
Prosthetic/Orthotic Supplier in Green Bay, Wisconsin
NPI 1477892412

Stacey M Nellen-kolze is a Prosthetic/Orthotic Supplier based in Green Bay, WI. Stacey M Nellen-kolze practices in Green Bay, WI. The NPI Number for Stacey M Nellen-kolze is 1477892412 and holds a License No. 456-1026562299-04 (Wisconsin).

The current practice location address for Stacey M Nellen-kolze is 2031 S Webster Ave, Green Bay, WI and can be reached out via phone at 920-393-4912 and via fax at 920-393-4913.

Location: 2031 S Webster Ave, Green Bay, WI, 54301-2257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477892412
Provider Name
Stacey M Nellen-kolze
Credential
Provider Entity Type
Individual
Gender
Female
Address
2031 S Webster Ave, Green Bay, WI, 54301-2257
Phone Number
920-393-4912
Fax Number
920-393-4913
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2031 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2257
Phone Number
920-393-4912
Fax Number
920-393-4913
person
Provider Business Mailing Address Details
Address
2031 S Webster Ave
City
Green Bay
State
Wisconsin
Zip
54301-2257
Phone Number
920-393-4912
Fax Number
920-393-4913
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
456-1026562299-04 (Wisconsin)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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