Individual
TIMOTHY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
788 SERVICE RD # B-401, EAST LANSING, MI 48824-7013
(517) 884-2488
Mailing address
788 SERVICE RD # B-401, EAST LANSING, MI 48824-7013
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5151016962
MI
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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