STACEY M NELLEN-KOLZE

GREEN BAY, WI
NPI1477892412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: WI  456-1026562299-04)
Enumeration Date2013-02-12
Last Update Date2013-02-12
Business Address
-- STACEY M NELLEN-KOLZE
2031 S WEBSTER AVE SUITE B
GREEN BAY, WI 54301-2257
Phone number: 920-393-4912
Mailing Address
-- STACEY M NELLEN-KOLZE
2031 S WEBSTER AVE SUITE B
GREEN BAY, WI 54301-2257
Phone number: 920-393-4912
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