Individual
JOHN STILLMUNKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5812 GRANT ST, OMAHA, NE 68104-4152
(402) 515-6809
Mailing address
5812 GRANT ST, OMAHA, NE 68104-4152
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
88373
NE
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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