Individual
JOEL PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3297
Mailing address
5450 FORT ST, TRENTON, MI 48183-4601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151016981
MI
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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