Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL PARK, M.D.
Active Sole ProprietorMICHAEL PARK, M.D. is a Allergy & Immunology healthcare provider located in PORTAGE, Michigan. NPI 1942204680 is currently active in the NPPES registry. Verify at CMS.
Allergy & Immunology · PORTAGE, MI
Registration Details
- NPI Number
- 1942204680
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2005 (21.213599078079 yrs)
- Last Updated
- Jul 16, 2007
- License
-
4301063179 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
430 W CENTRE AVEPORTAGE, MI, 490245304Browse MI providers · Browse ZIP 49024
- Phone
- 2693216673
- Fax
- 2693245594
- Primary Specialty
-
Allergy & Immunology
207K00000X
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.