Individual
MS. STACY LEAH COLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITAL, CLOQUET, MN 55720-1199
(218) 879-4641
Mailing address
512 SKYLINE BLVD, COMMUNITY MEMORIAL HOSPITAL, CLOQUET, MN 55720-1199
(218) 879-4641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1055
MN
Other
Enumeration date
05/15/2006
Last updated
07/21/2022
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