Whalio Doctors

NPI 1306816996

John Gregory Stark, MD

Practitioner Sports Medicine (Neuromusculoskeletal Medicine) Physician Minneapolis, MN

Practice location

Address
825 Nicollet Mall Suite 715, Minneapolis, MN 55402-2595
Phone
(612) 332-2324
Fax
(612) 332-1019
Mailing address
825 Nicollet Mall Suite 715, Minneapolis, MN 55402-2606

Registered specialties

Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204C00000X Licence 23369 (MN)

Registry record

NPI
1306816996
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Jan 2006
Record last updated
7 Mar 2023

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.