MEDICARE: DR. WILLIAM DAVID STARSIAK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	02004267A	IN

General Provider Information

NPI Number	:	1639431216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM DAVID STARSIAK D.O.

Provider Business Mailing Address
First Line	:	3415 SUMMERFIELD DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46214-1351
Country	:	US
Telephone Number	:	317-410-9978
Fax Number	:	888-316-1570

Provider Business Practice Location Address
First Line	:	3955 EAGLE CREEK PKWY
Second Line	:	STE A
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-4692
Country	:	US
Telephone Number	:	317-410-9978
Fax Number	:	888-316-1570

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2012
Last Update Date	:	11/08/2019

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