Tanner Stippich

NPI #1053924415 in Lima, Ohio

Provider Information

NPI Number: 1053924415
Entity Type: Individual
Name: Tanner Stippich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 26, 2020
Last Updated: Jan 12, 2024

Practice Location

Address: 801 MEDICAL DR STE A
City: Lima
State: Ohio
ZIP Code: 45804-4030
Phone: (419) 222-6622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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