| Grant Stark, | |
|
5700 E River Rd, Fridley, MN 55432-6149 | |
| (763) 571-3150 | |
| Not Available |
| Full Name | Grant Stark |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 5700 E River Rd, Fridley, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649960386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 528350 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Stark, 150 40th St Se, Montevideo, MN 56265-4085 Ph: (320) 226-4131 | Grant Stark, 5700 E River Rd, Fridley, MN 55432-6149 Ph: (763) 571-3150 |
Elizabeth Marilyn Thompson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7241 University Ave Ne, Fridley, MN 55432 Phone: 763-450-9400 | |
Ms. Laura Ann Moore, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1001 67th Ave Ne, Fridley, MN 55432 Phone: 763-571-9316 | |
Kate Patek, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7241 University Ave Ne, Fridley, MN 55432 Phone: 763-450-9400 | |
Brittany J Lahr, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5301 E River Rd Ste 110, Fridley, MN 55421 Phone: 763-432-3926 Fax: 763-432-3926 | |
Riley Harris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7241 University Ave Ne, Fridley, MN 55432 Phone: 763-634-6937 | |
Cheryl Lemer, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 550 Osborne Rd Ne, Mail Route 52680, Fridley, MN 55432 Phone: 763-236-3067 | |
Sarah Hetz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7241 University Ave Ne, Fridley, MN 55432 Phone: 763-450-9400 |