Individual
MS. JACQUELYN ROSE STECKLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
1308 17TH AVE S, MOORHEAD, MN 56560-3745
(218) 236-1415
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0127
ND
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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