Individual
DR. JARED W STARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
455 S LIVERNOIS RD, STE C14, ROCHESTER, MI 48307
(248) 656-0070
(248) 656-1963
Mailing address
455 S LIVERNOIS RD, STE C14, ROCHESTER, MI 48307
(248) 656-0070
(248) 656-1963
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
JS030201
MI
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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