Individual
RON H STARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3077 N MAYFAIR RD, SUITE 306, MILWAUKEE, WI 53222-4305
(414) 258-2323
(414) 258-2736
Mailing address
3077 N MAYFAIR RD, SUITE 306, MILWAUKEE, WI 53222-4305
(414) 258-2323
(414) 258-2736
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
22545
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22545
MEDICAL LICENSE
WI
05
—
30741000
—
WI
Enumeration date
01/27/2006
Last updated
03/07/2023
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