Search › Ohio › 163W00000X
Staja Clark
NPI 1790612646 · on the registry since 2026
Practice
- Address
- 2556 Gardengate Pl
Toledo, OH 43614 - Phone
- (419) 654-8398
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-05
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 Ohio