HANNA PARK

GRAND RAPIDS, MI
NPI1679815898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: MI  4301116177)
Additional Taxonomies208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA  A133676)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-03-26
Last Update Date2021-12-05
Business Address
HANNA PARK MD, MPH
100 MICHIGAN ST NE RM 8830
GRAND RAPIDS, MI 49503
Phone number: 616-459-7258
Mailing Address
HANNA PARK MD, MPH
9961 SIERRA AVE ATTN: CARDIAC SURGERY
FONTANA, CA 92335
Phone number: 909-427-3615