Grant Stark

NPI #1649960386 in Fridley, Minnesota

Provider Information

NPI Number
1649960386
Entity Type
Individual
Name
Grant Stark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
May 8, 2023
Last Updated
May 8, 2023

Practice Location

Address
5700 E RIVER RD
ZIP Code
55432-6149
Phone
(763) 571-3150

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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