Organization
CENTER OF DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERSCHEL E STOLLER M.D. (PRESIDENT)
(402) 398-9200
Entity
Organization
Contact information
Practice address
10110 NICHOLAS STREET, SUITE #103, OMAHA, NE 68114-2185
(402) 398-9200
(402) 398-9400
Mailing address
10110 NICHOLAS STREET, SUITE #103, OMAHA, NE 68114-2185
(402) 398-9200
(402) 398-9400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
NE13516
NE
Other
Enumeration date
01/11/2007
Last updated
02/18/2010
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