Individual
CHRISTOPHER GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10452 HAZELTON ETNA RD SW, ETNA, OH 43062-3400
(866) 639-3659
(414) 622-3903
Mailing address
10452 HAZELTON ETNA RD SW, ETNA, OH 43062-3400
(866) 639-3659
(414) 622-3903
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004763RX
OH
Other
Enumeration date
01/19/2017
Last updated
07/07/2025
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