Individual
ERIN ANNE STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(269) 729-5151
(833) 393-6789
Mailing address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(269) 729-5151
(833) 393-6789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86073959
MI
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86073959
COMMISSION ON DIETETIC REGISTRATION
MI
Enumeration date
01/04/2019
Last updated
01/04/2019
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