Organization
JOHN G. STARK M.D.P.A.
Active
Organization
JOHN G. STARK M.D.P.A.
Active
Other names
Stark Specialty Orthopaedics, Stark Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G STARK M.D. (OWNER)
(612) 332-2324
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL STE 715, MINNEAPOLIS, MN 55402-2613
(612) 332-2324
(612) 332-1019
Mailing address
825 NICOLLET MALL STE 715, MINNEAPOLIS, MN 55402-2613
(612) 332-2324
(612) 332-1019
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
23369
MN
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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