MICHAEL PARK, M.D.

Allergy & Immunology

Active Individual
NPI: 1942204680

Practice Address

430 W CENTRE AVE
Portage, MI 49024

Phone: (269) 321-6673

Specialties

Specialty Code Primary License
Allergy & Immunology 207K00000X Yes 4301063179 (MI)

Frequently Asked Questions

NPI 1942204680 is the National Provider Identifier for MICHAEL PARK, M.D., a Allergy & Immunology provider located in Portage, MI. This NPI was enumerated on June 10, 2005.
MICHAEL PARK, M.D. practices at 430 W CENTRE AVE, Portage, MI 49024.

Quick Facts

NPI
1942204680
Type
Individual
Enumerated
Jun 10, 2005
Last Updated
Jul 16, 2007

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