Search › Michigan › 1041C0700X
Emily Stark, LMSW
NPI 1295399749 · on the registry since 2019
Practice
- Address
- 300 68th St Se
Grand Rapids, MI 49548 - Phone
- (616) 559-5896
- Fax
- (616) 831-2617
- Organisation at this address
- Janus Rx Llc
Emergency Physicians Inc
Emergency Physicians Inc Pc
Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 661
Additional practice sites
- 790 Fuller Ave Ne, Grand Rapids, MI
- 320 Commerce Ave Sw, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-04
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 Michigan