Owen Stark is a Diagnostic Radiology in Ypsilanti, Michigan. Owen Stark practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Owen Stark is 1073709531. The last update date is 2021-07-09.
Owen Stark's current location address is 5333 Mcauley Dr, Ypsilanti, Michigan. You can contact this provider via phone number 7347128350 and fax number 7347128251. The mailing address for Owen Stark is 5333 Mcauley Dr, Ypsilanti, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Owen Stark |
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Address | 5333 Mcauley Dr, Ypsilanti, Michigan |
Phone Number | 7347128350 |
Fax Number | 7347128251 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1073709531 |
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Provider Enumeration Date | 2007-09-19 |
Last Updated Date | 2021-07-09 |
Provider Mailing Address Detail
Address | 5333 Mcauley Dr |
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City | Ypsilanti |
State | Michigan (MI) |
Post Code | 481971014 |
Phone Number | 7347128350 |
Fax Number | 7347128251 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | MD443256 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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102628033 | PA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Owen Stark?
The Owen Stark has been issued the NPI (National Provider Identifier) 1073709531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Owen Stark is physically located?
The Owen Stark is situated at the following address: 5333 Mcauley Dr, Ypsilanti, MI 481971014.
What is the Owen Stark's specialty and taxonomy code?
The Owen Stark's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When was the Owen Stark's 1073709531 issued?
The Owen Stark's 1073709531 was issued on 2007-09-19.
As of what date were the details related to Owen Stark most recently updated or revised?
The information pertaining to Owen Stark, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-09.