Individual
MIGUEL (MICHAEL) A PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
42713
MN
207K00000X
Allergy & Immunology Physician
67114
AZ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
42713
MN
Other
Enumeration date
02/10/2006
Last updated
04/03/2023
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