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Individual

MARGARET O. STARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
288 PEACE BLVD, SAINT JOSEPH, MI 49085-9562
(800) 979-9595
Mailing address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9845

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00316500
NJ
363LF0000X
Family Nurse Practitioner
Primary
4704298400
MI
363LF0000X
Family Nurse Practitioner
RN0000183547
TN

Other

Enumeration date
01/27/2012
Last updated
04/08/2014
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