Individual
MICHAEL L PARKS
Active
Individual
MICHAEL L PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
271251
NY
207L00000X
Anesthesiology Physician
4301 094 085
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03627401
—
NY
Enumeration date
05/12/2009
Last updated
04/17/2015
Update your record
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