| NPI | 1932325909 |
|---|---|
| Doing Business As | PARK FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | KEVIN G. DEIGHTON President 734-432-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-05-09 |