Park Ob Gyn
NPI #1821304288 in Clinton Twp, Michigan
Provider Information
- NPI Number
- 1821304288
- Entity Type
- Organization
- Organization Name
- Park Ob Gyn
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Aug 24, 2010
- Last Updated
- Feb 17, 2011
Practice Location
- Address
- 16570 19 MILE RD
- City
- Clinton Twp
- State
- Michigan
- ZIP Code
- 48038-1106
- Phone
- (586) 263-7660
Authorized Official
- Name
- CHANKEE PARK, MD
- Title
- PHYSICIAN PRESIDENT
- Phone
- (586) 263-7660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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