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1376924373
BUMSOO PARK
LIVONIA, MI
NPI
1376924373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301108105)
Enumeration Date
2015-06-15
Last Update Date
2019-01-02
Business Address
BUMSOO PARK MD
20321 FARMINGTON RD
LIVONIA, MI 48152
Phone number: 248-473-4300
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Mailing Address
BUMSOO PARK MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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