Individual
DANIELLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6400
Mailing address
1015 WATER WHEEL DR, WAUNAKEE, WI 53597-8905
(608) 669-6092
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4712
WI
Other
Enumeration date
10/02/2019
Last updated
01/13/2021
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