Carol K Stark, MD

NPI #1063428746 in White Bear Lake, Minnesota

Provider Information

NPI Number: 1063428746
Entity Type: Individual
Name: Carol K Stark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 1, 2006
Last Updated: Oct 14, 2011

Practice Location

Address: 4786 BANNING AVE
City: White Bear Lake
State: Minnesota
ZIP Code: 55110-3264
Phone: (651) 426-6402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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