Thomas Park M.d. PC
NPI #1881904605 in Southfield, Michigan
Provider Information
- NPI Number
- 1881904605
- Entity Type
- Organization
- Organization Name
- Thomas Park M.d. PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Oct 14, 2010
Practice Location
- Address
- 23077 GREENFIELD RD
- Address 2
- SUITE 257
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-3709
- Phone
- (248) 552-0044
Authorized Official
- Name
- DR. THOMAS T PARK, M.D.
- Title
- PRESIDENT
- Phone
- (248) 552-0044
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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