Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael C Stark, DO

Individual provider Family Medicine Physician · NPI 1649260779

Michael C Stark, DO is a Family Practice in Tomah, Wisconsin. Qualified in 1979, 47 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
47
Licensed in
WI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

325 Butts Ave
Tomah, WI 54660-1412
Phone: (608) 372-5951
Fax: (608) 372-3436
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 22938 (WI)

Record details

NPI number1649260779
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 16, 2020
Mailing addressPo Box 1510, Eau Claire, WI 54702-1510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Tomah