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Individual

STACEY LYNN HERBSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
42ND @ DEWEY ST, OMAHA, NE 68198-1023
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32258
NE
2084P0800X
Psychiatry Physician
4301095406
MI
2084P0800X
Psychiatry Physician
4570
SD

Other

Enumeration date
02/07/2006
Last updated
12/15/2020
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