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Dr. John Gregory Stark, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Minneapolis, Minnesota
NPI 1306816996

John Gregory Stark is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Minneapolis, MN. John Gregory Stark practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for John Gregory Stark is 1306816996 and holds a License No. 23369 (Minnesota).

The current practice location address for John Gregory Stark is 825 Nicollet Mall, Minneapolis, MN and can be reached out via phone at 612-332-2324 and via fax at 612-332-1019.

Location: 825 Nicollet Mall, Minneapolis, MN, 55402-2606
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Provider Profile Details
NPI Number
1306816996
Provider Name
John Gregory Stark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
825 Nicollet Mall, Minneapolis, MN, 55402-2606
Phone Number
612-332-2324
Fax Number
612-332-1019
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
126002200 05 MN
09-01240 01 MN PHP/MEDICA
23369 01 MN MINNESOTA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
825 Nicollet Mall
City
State
Zip
55402-2595
Phone Number
612-332-2324
Fax Number
612-332-1019
person
Provider Business Mailing Address Details
Address
825 Nicollet Mall
City
State
Zip
55402-2595
Phone Number
612-332-2324
Fax Number
612-332-1019
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
23369 (Minnesota)
Definition
Definition to come.
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