Individual
RUSSELL SCOTT STICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
111 17TH AVE E, STE 101, ALEXANDRIA, MN 56308-3734
(320) 762-1144
(320) 762-1935
Mailing address
111 17TH AVE E, STE 101, ALEXANDRIA, MN 56308-3734
(320) 762-1144
(320) 762-1935
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
761
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
761
MN
Other
Enumeration date
07/10/2006
Last updated
10/21/2024
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