MISS Mary Kathleen Stark, ATC

NPI #1710916143 in Onsted, Michigan

Provider Information

NPI Number
1710916143
Entity Type
Individual
Name
MISS Mary Kathleen Stark, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 30, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7559 SHERLOCK DR
City
Onsted
ZIP Code
49265-9416
Phone
(517) 605-1513

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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