Owen Stark in Ypsilanti - Vascular & Interventional Radiology
Owen Stark - NPI 1073709531
Owen Stark is a Vascular & Interventional Radiology in Ypsilanti, Michigan. Owen Stark practices all healthcare services and medical treatments related to Vascular & Interventional 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 |
|---|---|
| Address | 5333 Mcauley Dr, Ypsilanti, Michigan |
| Phone Number | 7347128350 |
| Fax Number | 7347128251 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1073709531 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2021-07-09 |
Provider Mailing Address Detail
| Address | 5333 Mcauley Dr |
|---|---|
| City | Ypsilanti |
| State | Michigan (MI) |
| Post Code | 481971014 |
| Phone Number | 7347128350 |
| Fax Number | 7347128251 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | MD443256 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 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 Vascular & Interventional Radiology, and the corresponding taxonomy code is 2085R0204X.
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.