Individual
MARY REBECCA STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4170 CEDAR BLUFF DR, PETOSKEY, MI 49770-7627
(231) 487-2230
(231) 487-6172
Mailing address
4170 CEDAR BLUFF DR, PETOSKEY, MI 49770-7627
(231) 487-2230
(231) 487-6172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
L1397712
MI
Other
Enumeration date
09/03/2008
Last updated
07/21/2026
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