Individual
SUNG JAE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2235 DUBOIS DR, WARSAW, IN 46580-3212
(574) 267-8189
(574) 267-7554
Mailing address
2235 DUBOIS DR, WARSAW, IN 46580-3212
(574) 267-8189
(574) 267-7554
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01051341
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200248760A
—
IN
Enumeration date
03/01/2006
Last updated
10/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us