Individual
MICHAEL C STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 BUTTS AVE, TOMAH, WI 54660-1412
(608) 372-5951
(608) 372-3436
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22938
WI
Other
Enumeration date
10/28/2005
Last updated
09/16/2020
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