Individual
DR. JI SEOK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE A51, CLEVELAND, OH 44193-1913
(216) 219-3551
Mailing address
9500 EUCLID AVE A51, CLEVELAND, OH 44193-1913
(216) 219-3551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.138824
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2017
Last updated
09/26/2020
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