Individual
ALYSSA L STITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1230 E MAIN STREET, MANKATO CLINIC, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E MAIN ST, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48055
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121464
MEDICA MN
—
01
—
135337
UCARE MN
—
01
—
2374570
AMERICAS PPO MN
—
01
—
399G0ST
BCBS MN
—
05
—
699407500
—
MN
01
—
HP55624
HEALTH PARTNERS MN
—
01
—
NA2951044642
PREFERRED ONE MN
—
Enumeration date
01/10/2006
Last updated
07/15/2020
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