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Individual

DR. JAMES LEO STUCKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
349 WEST BROADWAY, PLAINVIEW, MN 55964-1255
(507) 534-3502
Mailing address
349 WEST BROADWAY, PLAINVIEW, MN 55964-1255
(507) 534-3502

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1114
MN
111N00000X
Chiropractor
342
AZ
111N00000X
Chiropractor
CHIR000923
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36185ST
BLUE CROSS BLUE SHIELD OF
MN
Enumeration date
04/26/2007
Last updated
07/08/2007
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