Organization
MILWAUKEE HAND SPECIALISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON HARRY STARK M.D. (OWNER)
(414) 258-2323
Entity
Organization
Contact information
Practice address
3077 N MAYFAIR RD, SUITE 306, WAUWATOSA, WI 53222-4305
(414) 258-2323
(414) 258-2736
Mailing address
3077 N MAYFAIR RD, SUITE 306, WAUWATOSA, WI 53222-4305
(414) 258-2323
(414) 258-2736
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22545020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30741000
—
WI
Enumeration date
03/21/2007
Last updated
08/22/2020
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