Individual
ANGELA STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14701 VICTOR HUGO BLVD N MAIL STOP 35200A, HUGO, MN 55038
(651) 767-1900
(651) 767-1901
Mailing address
PO BOX 1309 - MAIL STOP 21110Q, MINNEAPOLIS, MN 55440-1309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14150
MN
Other
Enumeration date
08/18/2022
Last updated
10/24/2022
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