| Eric Wygant Stark, MD | |
|
2400 South St, Lafayette, IN 47904-3027 | |
| (765) 448-4319 | |
| (765) 448-2821 |
| Full Name | Eric Wygant Stark |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 2400 South St, Lafayette, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750389169 | NPI | - | NPPES |
| 111890E | Other | IN | MEDICARE |
| CA8380 | Other | IN | RAIL ROAD MEDICARE |
| 176600B | Other | IN | MEDICARE |
| 000000082506 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01030271A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Wygant Stark, MD Po Box 5628, Lafayette, IN 47903-5628 Ph: (765) 448-4319 | Eric Wygant Stark, MD 2400 South St, Lafayette, IN 47904-3027 Ph: (765) 448-4319 |
Dr. Zandra D'hue, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-838-5008 | |
Richard Nono Rosales, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-7410 Fax: 219-502-4855 | |
Minqian Shen, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-7410 Fax: 219-502-4855 | |
Bret Christopher Mobley, MD., M.S. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-491-6000 Fax: 317-491-6354 | |
Lee Allen Henderson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2400 South St., Department Of Pathology, Lafayette, IN 47904 Phone: 765-448-4319 Fax: 765-448-2921 | |
Dr. Adele Odine Kraft, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 317-491-6000 Fax: 317-491-6534 |