Individual
SHEA MIOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
822 WALNUT DR, WAYNE, NE 68787-1451
(402) 604-1959
Mailing address
1120 MAIN ST, WAYNE, NE 68787-1120
(402) 604-1959
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/02/2025
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