Individual
DR. MELANIE W STICKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024371
KAISER COMMERCIAL NUMBER
CO
05
—
1002574210
—
NE
05
—
1932246295
—
WY
05
—
200716390A
—
KS
05
—
48386057
—
CO
05
—
53870859
—
NM
05
—
7725820
—
SD
Enumeration date
01/30/2007
Last updated
06/19/2021
Update your record
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