KYU-SIK PARK

SOUTH BEND, IN
NPI1952443202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: KY  IP922)
Enumeration Date2007-02-13
Last Update Date2011-12-08
Business Address
Dr. KYU-SIK PARK m.d.
416 E MONROE ST STE 200
SOUTH BEND, IN 46601-2360
Phone number: 574-232-8119
Mailing Address
Dr. KYU-SIK PARK m.d.
54047 MAPLE LANE AVE
SOUTH BEND, IN 46635-1620
Phone number: 219-789-5920