Individual
JONGHWA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3980
(763) 581-3591
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3980
(763) 581-3591
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1774380
MN
Other
Enumeration date
09/11/2017
Last updated
07/21/2022
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