Stormont, Gavin

Stormont, Gavin is an individual health care provider with primary practice located at 1421 Premier Dr , Mankato MN 56001-6076. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Stormont, Gavin can be contacted via phone (507) 625-1811.

Contact Information

Primary practice address
1421 Premier Dr Mankato MN 56001-6076
Phone: (507) 625-1811
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 8112 Nebraska
Allopathic & Osteopathic Physicians / Urology 208800000X 71498 Minnesota

Profile Details

NPI number 1639690589
LBN Legal business name Stormont, Gavin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2017
Last updated Jun 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers