# STARSIAK OSTEOPATHIC CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912541467
- **Authorized official:** WILLIAM DAVID STARSIAK DO (CEO)
- **Authorized official phone:** (317) 410-9978

## Contact information

- **Practice address:** 3955 EAGLE CREEK PKWY STE A, INDIANAPOLIS, IN 46254-4692
- **Practice address phone:** (317) 410-9978
- **Mailing address:** 3145 SUMMERFIELD DR, INDIANAPOLIS, IN 46214-1875
- **Mailing address phone:** (317) 410-9978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/28/2019
- **Last updated:** 10/29/2019