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Individual
GERALD ELMER STARK
Active
Individual
GERALD ELMER STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000013
TN
224P00000X
Prosthetist
Primary
PR00000000014
TN
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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