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Individual

DR. MITCHELL CHRISTOPHER STICKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
750 KINGS HIGHWAY, STE 110, LEWES, DE 19958
(302) 644-6400
(302) 644-6409
Mailing address
750 KINGS HIGHWAY, STE 110, LEWES, DE 19958
(302) 644-6400
(302) 644-6409

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C10003715
DE
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
C1-0003715
DE
207NS0135X
Procedural Dermatology Physician
C1-0003715
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000431701
DE
Enumeration date
04/17/2006
Last updated
08/12/2020
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