Individual
MR. MARVIN J. STICKWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
7300 KLAWOCK-HOLLIS HWY., KLAWOCK, AK 99925
(907) 755-4800
Mailing address
713 CHIEF RICHARD CARL SR. DRIVE, CRAIG, AK 99921
(907) 826-2628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27807
AK
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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