Individual
DR. JAY ANDREW STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
70 ORTONVILLE RD, BRANDON CHIROPRACTIC CENTER, ORTONVILLE, MI 48462
(248) 627-9595
(248) 627-9379
Mailing address
70 ORTONVILLE RD, BRANDON CHIROPRACTIC CENTER, ORTONVILLE, MI 48462
(248) 627-9595
(248) 627-9379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JS007228
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P107713
BCN HMO
—
Enumeration date
11/27/2006
Last updated
11/18/2007
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