Individual provider · Type 1 NPI

Owen Stark

Vascular & Interventional Radiology Physician · Ypsilanti, MI

NPI number 1073709531 Active

Practice location

5333 Mcauley Dr, Suite 6016
Ypsilanti, MI 48197-1014

Call (734) 712-8350 Map

Fax (734) 712-8251

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD443256 (PA)
Diagnostic Radiology Physician 2085R0202X57012650 (OH)
Vascular & Interventional Radiology Physician 2085R0204XMD443256 (PA)
Vascular & Interventional Radiology Physician Primary 2085R0204X4301083869 (MI)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1073709531

Owen Stark's National Provider Identifier is 1073709531, issued on Sep 19, 2007. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Ypsilanti, MI. The record was last updated on Jul 9, 2021.