Jared W Stark in Rochester - Pediatrics

Jared W Stark - NPI 1407828106

Jared W Stark is a Pediatrics in Rochester, Michigan. Jared W Stark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jared W Stark is 1407828106. The last update date is 2007-07-08.

Jared W Stark's current location address is 455 S Livernois Rd, Rochester, Michigan. You can contact this provider via phone number 2486560070 and fax number 2486561963. The mailing address for Jared W Stark is 455 S Livernois Rd, Rochester, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jared W Stark
Address 455 S Livernois Rd, Rochester, Michigan
Phone Number 2486560070
Fax Number 2486561963
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1407828106
Provider Enumeration Date 2006-02-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 455 S Livernois Rd
City Rochester
State Michigan (MI)
Post Code 48307
Phone Number 2486560070
Fax Number 2486561963

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No JS030201
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Jared W Stark

What is the unique 10-digit identifier code assigned to Jared W Stark by the Centers for Medicare & Medicaid Services?

The Jared W Stark has been issued the NPI (National Provider Identifier) 1407828106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jared W Stark?

The Jared W Stark is physically situated at 455 S Livernois Rd, in the city of Rochester, state of MI, with the postal code 48307.

What is Jared W Stark's area of expertise and its corresponding taxonomy classification?

The Jared W Stark's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.

On what date did Jared W Stark receive its 1407828106 assignment from the Centers for Medicare & Medicaid Services?

The Jared W Stark was assigned its 1407828106 on 2006-02-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jared W Stark, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jared W Stark, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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