Individual
MISS MARY KATHLEEN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7559 SHERLOCK DR, ONSTED, MI 49265-9416
(517) 605-1513
Mailing address
7559 SHERLOCK DR, ONSTED, MI 49265-9416
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MI
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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