Individual
RONALD STICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1005 S HEMLOCK ST, SUITE G, IRON MOUNTAIN, MI 49801-3854
(906) 774-1749
(906) 779-4289
Mailing address
PO BOX 549, IRON MOUNTAIN, MI 49801-0549
(906) 774-1749
(906) 776-5639
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1248
MI
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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