Susan Elizabeth Stark

NPI #1598105694 in Aurora, Minnesota

Provider Information

NPI Number
1598105694
Entity Type
Individual
Name
Susan Elizabeth Stark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jul 3, 2013
Last Updated
Oct 18, 2013

Practice Location

Address
5211 HIGHWAY 110
Address 2
ESSENTIA HEATLH NORTHERN PINES CLINIC
City
Aurora
ZIP Code
55705-1522
Phone
(218) 229-3311

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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