Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN RICHARD PARK
ActiveSTEPHEN RICHARD PARK is a Family Medicine healthcare provider located in GRAND RAPIDS, Minnesota. NPI 1447276514 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GRAND RAPIDS, MN
Registration Details
- NPI Number
- 1447276514
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2006 (20.086855463118 yrs)
- Last Updated
- May 1, 2018
- License
-
25060 (MN)
Practice Information
- Address
-
1542 GOLF COURSE RD STE 204GRAND RAPIDS, MN, 557443555Browse MN providers · Browse ZIP 55744
- Phone
- 2189997000
- Fax
- 2189997099
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in GRAND RAPIDS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. JACK VICTOR CARLISLE | MD | 1326023060 |
| DR. PATRICIA C. CARLIN-JANSSEN | MD | 1033195805 |
| DR. CATHY J. CLEARY | MD | 1811973670 |
| DR. EDWIN A. ANDERSON | MD | 1083691828 |
| DR. CARY R. COLE-ANTHONY | MD | 1437136090 |
| DR. SCOTT GERLING | MD | 1912984550 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.