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Individual

DR. YOUNG SIN PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
812 HURON ROAD, SUITE 520, CLEVELAND, OH 44115
(216) 861-5846
(216) 861-1720
Mailing address
PO BOX 840294, DALLAS, TX 75284-0294
(888) 344-1160
(972) 331-3148

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35038575
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.038575
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0893529
OH
Enumeration date
12/29/2005
Last updated
11/26/2013
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