Michael Charles Park, PA-C
NPI #1740235977 in Auburn, California
Provider Information
- NPI Number
- 1740235977
- Entity Type
- Individual
- Name
- Michael Charles Park, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- May 24, 2006
- Last Updated
- May 12, 2017
Practice Location
- Address
- 3133 PROFESSIONAL DR
- Address 2
- SUITE 20
- City
- Auburn
- State
- California
- ZIP Code
- 95603-2463
- Phone
- (530) 885-8821
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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