Most Relevant Information
Provider Data
| NPI Number: | 1003478306 |
| Provider Name: | MICHAEL VINCENT STILLMAN MS, LIMHP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 2149 |
Most Important Dates
| Enumeration Date: | 07/08/2019 |
| Last Updated: | 07/08/2019 |
Provider Practice Location
2849 S 163RD PLZ
OMAHA
NE
681301809
Practice Location Phone/Fax
| Phone: | 7123140834 |
| Fax: |
Provider Mailing Location
2849 S 163RD PLZ
OMAHA
NE
681301809
Provider Mailing Phone/Fax
| Phone: | 7123140834 |
| Fax: |