Michael Park, M.D.

NPI #1942204680 in Portage, Michigan

Provider Information

NPI Number: 1942204680
Entity Type: Individual
Name: Michael Park, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Allergy & Immunology
Credential: M.D.
Enumeration Date: Jun 10, 2005
Last Updated: Jul 16, 2007

Practice Location

Address: 430 W CENTRE AVE
City: Portage
State: Michigan
ZIP Code: 49024-5304
Phone: (269) 321-6673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X	Primary

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Organizations

Provider Name	Specialty	City
Park Allergy Center PC	Allergy & Immunology	Portage	AI Deep Dive

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