Individual
DR. VANESSA MICHELLE STARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D84333
MD
207L00000X
Anesthesiology Physician
Primary
MD047104
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
638732YUY
MEDICARE
MD
Enumeration date
06/06/2012
Last updated
08/25/2023
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