Individual
DAVID MICHAEL STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061900A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000519359
ANTLHEM
IN
05
—
200866750
—
IN
Enumeration date
05/14/2007
Last updated
11/25/2024
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