Individual
ANDREW J STICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5391
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-5391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10609-24
WI
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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