Individual
DR. KAITLIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
75 BARCLAY CIR STE 115, ROCHESTER HILLS, MI 48307-5803
(248) 856-6300
Mailing address
75 BARCLAY CIR STE 115, ROCHESTER HILLS, MI 48307-5803
(248) 856-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101021070
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021070
MI
Other
Enumeration date
06/13/2014
Last updated
03/16/2020
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