Individual
SHAUN MICHAEL STICKLEY
Active
Individual
SHAUN MICHAEL STICKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
096419
OH
2086S0129X
Vascular Surgery Physician
Primary
28875
NV
2086S0129X
Vascular Surgery Physician
Primary
48394
TN
Other
Enumeration date
05/02/2007
Last updated
03/26/2026
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