Individual
WAYNE STUBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, PT
Contact information
Practice address
444 S 44TH ST, OMAHA, NE 68131-3727
(402) 559-8943
Mailing address
985459 NEBRASKA MED CTR, OMAHA, NE 68198-5450
(402) 559-8943
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
396
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025288900
—
NE
Enumeration date
11/01/2006
Last updated
07/12/2012
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