Individual
MICHAEL L PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6511 SPRINGBROOK AVE, RHINEBECK, NY 12572
(845) 331-2098
(845) 331-2814
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(866) 507-5244
(855) 851-4405
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
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