Individual
HANBYUL WILLIAM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 SMITH AVE N STE 500, SUITE 307, SAINT PAUL, MN 55102-2463
(651) 968-5420
(651) 222-0956
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22415
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0978981
—
MN
01
—
200031316
RAILROAD MEDICARE
MN
Enumeration date
03/15/2006
Last updated
07/02/2015
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