Individual
DR. JOHN R PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105
(262) 767-8260
(262) 767-8212
Mailing address
30805 CEDAR DR, BURLINGTON, WI 53105-9479
(262) 767-0706
(262) 767-0706
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23675
WI
Other
Enumeration date
08/23/2006
Last updated
08/26/2015
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