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JOHN G. STARK M.D.P.A. NPI 1780863316


NPI Information

NPI: 1780863316
Provider Name: JOHN G. STARK M.D.P.A.

Doing Business As: STARK SPECIALTY ORTHOPAEDICS, STARK CLINIC

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
825 NICOLLET MALL STE 715
MINNEAPOLIS, MN
ZIP 55402
Phone: (612) 332-2324
Get Directions

JOHN G. STARK M.D.P.A. is an orthopaedic surgery of the spine orthopaedic surgery in Minneapolis, MN. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. JOHN G. STARK M.D.P.A. NPI is 1780863316. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stark Specialty Orthopaedics, Stark Clinic.

The provider's business location address is:

825 NICOLLET MALL STE 715
MINNEAPOLIS, MN
ZIP 55402-613
Phone: (612) 332-2324
Fax: (612) 332-1019

The provider's authorized official is John G Stark .
The authorized official title is Owner and has the following contact phone number (612) 332-2324.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine23369MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C03867MEDICARE PINMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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