Michael Stark
Michael Stark is a Licensed Vocational Nurse in Pleasant Prairie, Wisconsin. Licensed in California and Illinois. Registered with an NPI since 2025.
- Licensed in
- CA, IL
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
12049 44th AvePleasant Prairie, WI 53158-3927
Phone: (530) 562-5476
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 043133707 (IL) |
|---|---|
| Licensed Vocational Nurse | Taxonomy 164X00000X · Licence 719020 (CA) |
Record details
| NPI number | 1194617647 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 18, 2025 |
| Last updated in NPPES | July 18, 2025 |
| Certification date | July 18, 2025 |