Individual
DR. CRAIG F STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 VALLEY CHILDRENS PL # FE16, MADERA, CA 93636-8761
(559) 353-6700
(559) 353-6710
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(303) 960-8783
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
28712
CO
207VM0101X
Maternal & Fetal Medicine Physician
Primary
G49402
CA
207VM0101X
Maternal & Fetal Medicine Physician
MED-PHYS-LIC-52253
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006942
KAISER-COMMERCIAL NUMBER
—
05
—
01287127
—
CO
Enumeration date
02/16/2007
Last updated
03/12/2020
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