Individual
DYLAN STICHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3458 PRAIRIE FLOWER CIR, ROCKFORD, IL 61114-6768
(815) 275-6453
Mailing address
3458 PRAIRIE FLOWER CIR, ROCKFORD, IL 61114-6768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004510
IL
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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