Individual
ANDIE MICHELLE STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2601001849
MI
363A00000X
Physician Assistant
Primary
5601010619
MI
Other
Enumeration date
03/08/2018
Last updated
10/09/2025
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