Search › Wisconsin › 164X00000X
Michael Stark
NPI 1194617647 · on the registry since 2025
Practice
- Address
- 12049 44th Ave
Pleasant Prairie, WI 53158 - Phone
- (530) 562-5476
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Also registered as
- 164X00000X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin