NPI 1114520046

Brenda K Stickley

Practitioner Preferred Provider Organization Wauseon, OH

Practice location

Address: 610 E Chestnut St, Wauseon, OH 43567-1463
Phone: (419) 357-9292

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 2695463 (OH)

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Registry record

NPI: 1114520046
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2020
Record last updated: 22 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.