Grant Stark, - Speech-Language Pathologist in Fridley, MN

Grant Stark, is a Speech-language Pathologist based in Fridley, Minnesota. Grant Stark is licensed to practice in Minnesota (license number 528350) and his current practice location is 5700 E River Rd, Fridley, Minnesota. He can be reached at his office (for appointments etc.) via phone at (763) 571-3150.

NPI number for Grant Stark is 1649960386 and his current mailing address is 150 40th St Se, Montevideo, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649960386.

Contact Information

Grant Stark,
5700 E River Rd,
Fridley, MN 55432-6149
(763) 571-3150
Not Available



Healthcare Provider's Profile

Full NameGrant Stark
GenderMale
SpecialitySpeech-language Pathologist
Location5700 E River Rd, Fridley, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649960386
  • Provider Enumeration Date: 05/08/2023
  • Last Update Date: 05/08/2023

Medical Identifiers

Medical identifiers for Grant Stark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649960386NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 528350 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grant Stark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

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› Verified 2 days ago


Speech-Language Pathologist in Fridley, MN

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
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    
Krystal Nelson,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7241 University Ave Ne, Fridley, MN 55432
Phone: 763-450-9400    
Sarah Hetz,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 7241 University Ave Ne, Fridley, MN 55432
Phone: 763-450-9400    

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