Individual
TANNER STIPPICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(419) 222-6622
(419) 224-0015
Mailing address
801 MEDICAL DR STE A, LIMA, OH 45804-4030
(192) 226-6224
(419) 224-0015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
50007469RX
OH
Other
Enumeration date
08/26/2020
Last updated
01/12/2024
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