Individual
DR. JASON P STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2510 MINERAL POINT AVE, SUITE 100, JANESVILLE, WI 53548-2716
(608) 758-1700
(608) 758-1800
Mailing address
2510 MINERAL POINT AVE, SUITE 100, JANESVILLE, WI 53548-2716
(608) 758-1700
(608) 758-1800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4024-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38951800
—
WI
Enumeration date
06/11/2006
Last updated
07/08/2007
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