Individual
DR. MARK NOLAN STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3550 BRIARFIELD BLVD, SUITE 100, MAUMEE, OH 43537-8916
(419) 866-6985
(419) 866-4311
Mailing address
3550 BRIARFIELD BLVD STE 100, MAUMEE, OH 43537-9184
(419) 866-6985
(419) 866-4311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16965
OH
332B00000X
Durable Medical Equipment & Medical Supplies
16965
OH
Other
Enumeration date
07/31/2006
Last updated
06/18/2019
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