Individual
DR. MICHAEL O STICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
256 SW WASHINGTON AVE, MADISON, FL 32340-1982
(850) 973-4590
Mailing address
2599 SW COUNTY ROAD 360A, MADISON, FL 32340-8416
(850) 973-3613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME38518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18556
BCBS OF FLORIDA
FL
Enumeration date
05/02/2007
Last updated
02/11/2008
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