Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL STARK
ActiveMICHAEL STARK is a Licensed Vocational Nurse healthcare provider located in PLEASANT PRAIRIE, Wisconsin. NPI 1194617647 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · PLEASANT PRAIRIE, WI
Registration Details
- NPI Number
- 1194617647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 18, 2025 (0.89170622090614 yrs)
- Last Updated
- Jul 18, 2025
- Licenses
-
719020 (CA)043133707 (IL)
Practice Information
- Address
-
12049 44TH AVEPLEASANT PRAIRIE, WI, 531583927Browse WI providers · Browse ZIP 53158
- Phone
- 5305625476
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
- Additional Specialty
- Licensed Vocational Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.