MICHAEL PARK

PORTAGE, MI
NPI1942204680
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: MI  4301063179)
Enumeration Date2005-06-10
Last Update Date2007-07-16
Business Address
-- MICHAEL PARK M.D.
430 W CENTRE AVE
PORTAGE, MI 49024-5304
Phone number: 269-321-6673
Mailing Address
-- MICHAEL PARK M.D.
430 W CENTRE AVE
PORTAGE, MI 49024-5304
Phone number: 269-321-6673
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