| Organization Name: | STICKMAN DIALYSIS INDUSTRIES |
| NPI Number: | 1467704411 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEAN CLERMONT (PRESIDENT) |
| Mailing Address: | 2210 Portland Rd Arundel |
| State: | ME US |
| Postal Code: | 040467930 |
| Phone Number: | 2079851717 |
| Fax Number: | 2079851718 |
| NPI Enumeration Date: | 10/15/2012 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BD1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Dialysis Equipment & Supplies |
| Taxonomy Definition: | |