Individual
ANNIE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, TC 3116, ANN ARBOR, MI 48109-5368
(734) 936-7504
Mailing address
1500 E MEDICAL CENTER DR, TC 3116, ANN ARBOR, MI 48109-5368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301119379
MI
Other
Enumeration date
08/03/2016
Last updated
09/04/2019
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