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Individual

DR. CAROL A STESSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10710 FORT ST, OMAHA, NE 68134-1230
(402) 354-7500
(402) 354-7505
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20570
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1669583639
IA
05
47068731797
NE
Enumeration date
08/31/2006
Last updated
12/20/2013
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