Individual
BROCK A PAESL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ARBOR DRIVE, SOUTH SIOUX CITY, NE 68776-2652
(402) 494-3337
(402) 494-3356
Mailing address
PO BOX 355, SOUTH SIOUX CITY, NE 68776-0355
(402) 494-3337
(402) 494-3356
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NE
Other
Enumeration date
09/14/2017
Last updated
04/08/2024
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