Individual
AMANDA MARIE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8950 PROFESSIONAL DR, CADILLAC, MI 49601-8599
(231) 775-2493
(231) 779-7701
Mailing address
MUNSON FAMILY PRACTICE CENTER, 1400 MEDICAL CAMPUS DRIVE, TRAVERSE CITY, MI 49684
(231) 935-8012
(231) 935-8098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151014776
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2021
Last updated
08/15/2024
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