Stark, Marygrace Therese

Stark, Marygrace Therese is an sole proprietor health care provider with primary practice located at 11307 N Linden Rd , Clio MI 48420-8589. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Stark, Marygrace Therese can be contacted via phone (810) 564-7995.

Contact Information

Primary practice address
11307 N Linden Rd Clio MI 48420-8589
Phone: (810) 564-7995
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601010659 Michigan

Profile Details

NPI number 1487243630
LBN Legal business name Stark, Marygrace Therese
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2021
Last updated Jun 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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