Individual provider · Type 1 NPI

Mary Rebecca Stoll, P.A.

Physician Assistant · Petoskey, MI

NPI number 1083862098 Active

Practice location

4170 Cedar Bluff Dr
Petoskey, MI 49770-7627

Fax (231) 487-6172

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XL1397712 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083862098

Mary Rebecca Stoll, P.A.'s National Provider Identifier is 1083862098, issued on Sep 3, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Petoskey, MI. The record was last updated on Jul 21, 2026.