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Individual
JOHN G PARK
Active
Individual
JOHN G PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
40100
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
40100
MN
Other
Enumeration date
02/15/2006
Last updated
08/19/2020
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