DR. Susan E Park, MD

NPI #1184614638 in South Bend, Indiana

Provider Information

NPI Number: 1184614638
Entity Type: Individual
Name: DR. Susan E Park, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Aug 3, 2016

Practice Location

Address: 211 N EDDY ST
City: South Bend
State: Indiana
ZIP Code: 46617-2808
Phone: (574) 237-9334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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