ERIC WYGANT STARK

LAFAYETTE, IN
NPI1750389169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: IN  01030271A)
Enumeration Date2005-07-09
Last Update Date2007-07-16
Business Address
-- ERIC WYGANT STARK MD
2400 SOUTH ST
LAFAYETTE, IN 47904-3027
Phone number: 765-448-4319
Mailing Address
-- ERIC WYGANT STARK MD
PO BOX 5628
LAFAYETTE, IN 47903-5628
Phone number: 765-448-4319
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