Individual
ERIN DAWN STICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1606 23RD AVE, FAIRBANKS, AK 99701-6407
(907) 455-4567
Mailing address
6534 WATSON LN, FLORENCE, KY 41042-4387
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
123458
AK
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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