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Organization
STICKEL CHIROPRACTIC CLINIC P.C.
Active
Organization
STICKEL CHIROPRACTIC CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA S BLUBAUGH (OFFICE MANAGER)
(515) 255-3021
Entity
Organization
Contact information
Practice address
2913 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 255-3021
(515) 274-8732
Mailing address
2925 INGERSOLL AVE, DES MOINES, IA 50312-4014
(515) 255-3021
(515) 274-8732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05939
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0139212
—
IA
01
—
53617
WELLMARK
IA
Enumeration date
07/27/2006
Last updated
02/28/2008
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