Individual
JUSTIN STICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2825 9TH ST N APT 6, FARGO, ND 58102-1351
(701) 715-2158
Mailing address
2825 9TH ST N APT 6, FARGO, ND 58102-1351
(701) 715-2158
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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