Doctor Name: | DR. WILLIAM DAVID STARSIAK |
NPI Number: | 1639431216 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 02004267A |
Business Practice Address: | 151 N Delaware St Suite 1950 Indianapolis, IN - 462042599 |
Business Phone Number: | 3176355280 |
Business Fax Number: | |
Mailing Address: | 151 N Delaware St, Suite 1950 INDIANAPOLIS |
State: | IN |
Postal Code: | 462042599 |
Phone Number: | 3176355280 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 09/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 02004267A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |