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Organization

MIDWEST SPINE CLINIC LLC

Active
Other names
The Rejuvenation Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES R STAHELI DO (OWNER)
(402) 391-2635
Entity
Organization

Contact information

Practice address
1910 SOUTH 72ND ST, STE 302, OMAHA, NE 68124-1734
(402) 391-2635
(402) 391-0326
Mailing address
1910 SOUTH 72ND ST, STE 302, OMAHA, NE 68124-1734
(402) 391-2635
(402) 391-0326

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
02/10/2006
Last updated
08/22/2020
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