Individual provider · Type 1 NPI

Danielle Stark, PA

Medical Physician Assistant · Madison, WI

NPI number 1326689126 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Mailing address

1015 Water Wheel Dr
Waunakee, WI 53597-8905

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4712 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1326689126

Danielle Stark, PA's National Provider Identifier is 1326689126, issued on Oct 2, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Jan 13, 2021.