Individual
STEPHANIE M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109-5864
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704300247
MI
363LA2100X
Acute Care Nurse Practitioner
4704300247
MI
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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