NPI | 1780863316 |
---|---|
Doing Business As | STARK SPECIALTY ORTHOPAEDICS, STARK CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN G STARK Owner 612-332-2324 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: MN 23369) |
Enumeration Date | 2007-10-31 |
Last Update Date | 2007-10-31 |