Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY W STARK, DC DACBSP ICSSD CSCS
ActiveTIMOTHY W STARK, DC DACBSP ICSSD CSCS is a Sports Physician (Chiropractor) healthcare provider located in WEST FARGO, North Dakota. NPI 1811147325 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · WEST FARGO, ND
Registration Details
- NPI Number
- 1811147325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2008 (17.711863683846 yrs)
- Last Updated
- Sep 22, 2008
- License
-
647 (ND)
Practice Information
- Address
-
715 13TH AVE ESUITE 101WEST FARGO, ND, 580783380Browse ND providers · Browse ZIP 58078
- Phone
- 7014920696
- Fax
- 7014920696
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
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.