Individual
DEIRDRE ANNE STOLMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 N 162ND AVE STE 302, OMAHA, NE 68118
(402) 354-0621
(402) 354-7358
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30610
NE
207N00000X
Dermatology Physician
65959 - 20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002571500
—
NE
05
—
1942628839
—
IA
Enumeration date
03/28/2014
Last updated
07/20/2018
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