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
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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.