Individual
MR. JOHN E STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
104 S MIAMI ST, WEST MILTON, OH 45383-1551
(937) 698-4456
Mailing address
104 S MIAMI ST, WEST MILTON, OH 45383-1551
(937) 698-4456
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
S-6884
OH
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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