Michael C Stark, DO

NPI #1649260779 in Tomah, Wisconsin

Provider Information

NPI Number: 1649260779
Entity Type: Individual
Name: Michael C Stark, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Oct 28, 2005
Last Updated: Sep 16, 2020

Practice Location

Address: 325 BUTTS AVE
City: Tomah
State: Wisconsin
ZIP Code: 54660-1412
Phone: (608) 372-5951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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