Amanda Marie Stark, D.O.

NPI #1164097416 in Cadillac, Michigan

Provider Information

NPI Number: 1164097416
Entity Type: Individual
Name: Amanda Marie Stark, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: May 20, 2021
Last Updated: Aug 15, 2024

Practice Location

Address: 8950 PROFESSIONAL DR
City: Cadillac
State: Michigan
ZIP Code: 49601-8599
Phone: (231) 775-2493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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