Individual
DR. RANDALL MARK STUCKEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3 CENTURY AVE SE, HUTCHINSON, MN 55350-3108
(320) 234-3290
Mailing address
3 CENTURY AVE SE, HUTCHINSON, MN 55350-3108
(320) 234-3290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58231
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2013
Last updated
06/28/2016
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