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Owen Stark
Vascular & Interventional Radiology Physician in Ypsilanti, Michigan
NPI 1073709531

Owen Stark is a Vascular & Interventional Radiology Physician based in Ypsilanti, MI and is specialized in Vascular & Interventional Radiology. Owen Stark practices in Ypsilanti, MI. The NPI Number for Owen Stark is 1073709531 and holds a License No. MD443256 (Michigan).

The current practice location address for Owen Stark is 5333 Mcauley Dr, Ypsilanti, MI and can be reached out via phone at 734-712-8350 and via fax at 734-712-8251.

Location: 5333 Mcauley Dr, Ypsilanti, MI, 48197-1014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073709531
Provider Name
Owen Stark
Credential
Provider Entity Type
Individual
Gender
Male
Address
5333 Mcauley Dr, Ypsilanti, MI, 48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8251
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
102628033 05 PA
institution
Provider Business Practice Location Address Details
Address
5333 Mcauley Dr
City
Ypsilanti
State
Michigan
Zip
48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8251
person
Provider Business Mailing Address Details
Address
5333 Mcauley Dr
City
Ypsilanti
State
Michigan
Zip
48197-1014
Phone Number
734-712-8350
Fax Number
734-712-8251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
57012650 (Ohio)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
MD443256 (Pennsylvania)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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