Individual
STACY HARTWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 DODGE ST, HPER 108, OMAHA, NE 68182-1102
(402) 554-3170
Mailing address
6001 DODGE ST, OMAHA, NE 68182-1102
(402) 554-3170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
565
NE
Other
Enumeration date
08/02/2010
Last updated
11/26/2014
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