Individual
MARK A STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
78601
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430023952
RAILROAD MEDICARE
—
05
—
43290700
—
WI
Enumeration date
04/27/2006
Last updated
10/01/2014
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