Individual
TAD A. STICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2900 12TH AVE N, SUITE 140W, BILLINGS, MT 59101-7506
(406) 237-5050
(406) 237-5051
Mailing address
2900 12TH AVE N STE 140W, BILLINGS, MT 59101-7507
(406) 237-5050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011003994
MEDICARE NUMBER
MT
Enumeration date
12/15/2005
Last updated
03/07/2023
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