Corby Rae Stark, MA PC
NPI #1780807149 in Balsam Lake, Wisconsin
Provider Information
- NPI Number
- 1780807149
- Entity Type
- Individual
- Name
- Corby Rae Stark, MA PC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Credential
- MA PC
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 100 POLK COUNTY PLZ
- Address 2
- SUITE 50
- City
- Balsam Lake
- State
- Wisconsin
- ZIP Code
- 54810-9071
- Phone
- (715) 485-8842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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