Whalio Doctors

NPI 1073709531

Owen Stark

Practitioner Vascular & Interventional Radiology Physician Ypsilanti, MI

Practice location

Address
5333 McAuley Dr Suite 6016, Ypsilanti, MI 48197-1014
Phone
(734) 712-8350
Fax
(734) 712-8251

Registered specialties (4)

Vascular & Interventional Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence 4301083869 (MI)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD443256 (PA)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 57012650 (OH)
Vascular & Interventional Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence MD443256 (PA)

Registry record

NPI
1073709531
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Sep 2007
Record last updated
9 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.