Individual
DR. THOMAS PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 222-7452
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 222-7452
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
4301102290
MI
Other
Enumeration date
06/02/2010
Last updated
03/08/2016
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