SUSANNE L STICKLER MD
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1437198884- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3101 E STATE ST SUITE 2120, EAGLE, ID, 836166232
- Phone
- (208) 706-8000
Specialties & Taxonomies
Internal Medicine
Primary License: ID #M11103
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241