Michael Stark
NPI #1194617647 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1194617647
- Entity Type
- Individual
- Name
- Michael Stark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Jul 18, 2025
- Last Updated
- Jul 18, 2025
Practice Location
- Address
- 12049 44TH AVE
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-3927
- Phone
- (530) 562-5476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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