Individual
DR. JOON H PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 W CENTRE AVE, PORTAGE, MI 49024
(269) 321-6673
Mailing address
430 W CENTRE AVE, PORTAGE, MI 49024
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301065839
MI
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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