JONATHAN ALBERT STICCA

FARGO, ND
NPI1669854196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ND  15165)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ND  15165)
207Q00000X Family Medicine
(Licence: SC  LL38351)
207Q00000X Family Medicine
(Licence: IA  46141)
Enumeration Date2015-06-20
Last Update Date2023-08-04
Business Address
DR. JONATHAN ALBERT STICCA MD
5225 23RD AVE S
FARGO, ND 58104-7927
Phone number: 701-417-1333
Mailing Address
DR. JONATHAN ALBERT STICCA MD
1301 NORTH COLUMBIA ROAD RM E270 STOP 9037
GRAND FORKS, ND 58202-9037
Phone number: 701-777-2636