Gunner Matthew Stall

NPI #1558188938 in Lima, Ohio

Provider Information

NPI Number: 1558188938
Entity Type: Individual
Name: Gunner Matthew Stall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 25, 2024
Last Updated: Aug 13, 2025

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	363A00000X	Primary

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