Individual
DR. HERSCHEL E STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10110 NICHOLAS ST, SUITE #103, OMAHA, NE 68114-2184
(402) 398-9200
(402) 398-9400
Mailing address
10110 NICHOLAS ST, SUITE #103, OMAHA, NE 68114-2184
(402) 398-9200
(402) 398-9400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
NE13516
NE
207NS0135X
Procedural Dermatology Physician
NE13516
NE
207ZD0900X
Dermatopathology (Pathology) Physician
NE13516
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47064032502
—
NE
Enumeration date
11/22/2005
Last updated
02/18/2010
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