Individual
ANDREW JOHN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 CRICKET LN, MANSFIELD, OH 44906-4104
(567) 309-2040
(567) 309-2045
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.145109
OH
Other
Enumeration date
03/22/2017
Last updated
07/25/2022
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