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NPI Code Detail

MEDICARE: DR. JAY A STARR M.D.

MEDICARE: DR. JAY A STARR M.D.
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
1208800000XUrology Physician4301085113MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912998477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY A STARR M.D.
Provider Business Mailing Address
First Line : 3922 CEDAR RUN RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-9687
Country : US
Telephone Number : 231-935-0322
Fax Number : 231-935-0334
Provider Business Practice Location Address
First Line : 3922 CEDAR RUN RD
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49684-9687
Country : US
Telephone Number : 231-935-0322
Fax Number : 231-935-0334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 12/30/2020

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Directions to “ DR. JAY A STARR M.D.” Practice Location

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