SAMANTHA STARK

LA CROSSE, WI
NPI1962866343
Former NameSAMANTHA KNOPP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: WI  73379-20)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  125068358)
207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: WI  73379-20)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-11
Last Update Date2021-07-29
Business Address
SAMANTHA STARK MD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
SAMANTHA STARK MD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300