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Marygrace Therese Stark
Physician Assistant in Clio, Michigan
NPI 1487243630

Marygrace Therese Stark is a Physician Assistant based in Detroit, MI. Marygrace Therese Stark practices in Clio, MI. The NPI Number for Marygrace Therese Stark is 1487243630 and holds a License No. (Michigan).

The current practice location address for Marygrace Therese Stark is 11307 N Linden Rd, Clio, MI and can be reached out via phone at 810-564-7995.

Location: 11307 N Linden Rd, Clio, MI, 48201-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487243630
Provider Name
Marygrace Therese Stark
Credential
Provider Entity Type
Individual
Gender
Female
Address
11307 N Linden Rd, Clio, MI, 48201-2427
Phone Number
810-564-7995
Fax Number
Provider Enumeration Date
01/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11307 N Linden Rd
City
Clio
State
Michigan
Zip
48420-8589
Phone Number
810-564-7995
Fax Number
person
Provider Business Mailing Address Details
Address
11307 N Linden Rd
City
Clio
State
Michigan
Zip
48420-8589
Phone Number
810-564-7995
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601010659 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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