Owen Stark
Owen Stark is a Diagnostic Radiology in Ypsilanti, Michigan. Graduated from University of Michigan Medical School in 2004, 22 years ago. Practices with Huron Valley Radiology PC, a 75-clinician group and accepts Medicare assignment. Licensed in Michigan, Ohio and Pennsylvania.
- Years since qualifying
- 22
- Trained at
- University of Michigan Medical School
- Licensed in
- MI, OH, PA
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
5333 McAuley Dr Ste 6016Ypsilanti, MI 48197-1014
Phone: (734) 712-8350
Fax: (734) 712-8251
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
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X · Licence 4301083869 (MI) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence MD443256 (PA) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 57012650 (OH) |
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence MD443256 (PA) |
Record details
| NPI number | 1073709531 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 19, 2007 |
| Last updated in NPPES | July 9, 2021 |
| Certification date | July 9, 2021 |
| Mailing address | 5333 McAuley Dr, Suite 6016, Ypsilanti, MI 48197-1014 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduated | 2004 (22 years in practice) |
| Group practice | Huron Valley Radiology Pc — 75 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ypsilanti
-
Adam Fine Petraglia
Academic Internal Medicine Clinic 5333 McAuley Dr Ste 4001, Ypsilanti, MI 48197-8633 · (734) 712-3980
-
Dr. Bonnie J Putnam, MD
5301 E Huron River Dr, Ypsilanti, MI 48197-1051 · (734) 712-8350
-
Dr. Joel Robinson, DO
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350
-
Dr. Atif Siddiqi, MD
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350
-
Elias Prodromou Taxakis, MD
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350
-
Dr. Sean E Theisen, MD
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350
-
Dr. Cory Z. Trivax, MD
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350
-
Lauri Tyre, MD
5333 McAuley Dr Ste 6016, Ypsilanti, MI 48197-1014 · (734) 712-8350