NPI 1750389169

Eric Wygant Stark, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Lafayette, IN

Practice location

Address: 2400 South St, Lafayette, IN 47904-3027
Phone: (765) 448-4319
Fax: (765) 448-2821
Mailing address: PO Box 5628, Lafayette, IN 47903-5628

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 01030271A (IN)

Other Pathology providers in Indiana →

Registry record

NPI: 1750389169
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jul 2005
Record last updated: 16 Jul 2007

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.