Individual
MADELINE M STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
4741 43RD ST S, FARGO, ND 58104-4282
(701) 361-4721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
12/04/2024
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