NPI 1467820274

Mark Stickler

Practitioner Other Technician Woodbury, MN

Practice location

Address: 9157 Cambridge Rd, Woodbury, MN 55125-4907
Phone: (651) 739-7777
Mailing address: 8362 Tamarack Vlg Suite 119-448, Woodbury, MN 55125-3392

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1467820274
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2015
Record last updated: 10 Sep 2015

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.