JULIE MARIA STARK

FORT WAYNE, IN
NPI1902018641
Former NameJULIE MARIA DONNELLY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01073161A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036121864)
Enumeration Date2007-05-04
Last Update Date2024-08-19
Business Address
JULIE MARIA STARK MD
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3210
Phone number: 260-209-7111
Mailing Address
JULIE MARIA STARK MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: