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Individual

ROSEMARY HAESUNG PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
26850 PROVIDENCE PKWY, SUITE 315, NOVI, MI 48374-1213
(248) 465-4340
(248) 465-4341
Mailing address
26850 PROVIDENCE PKWY, SUITE 315, NOVI, MI 48374-1213
(248) 465-4340
(248) 465-4341

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RP066801
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4495579
MI
01
C6131
M CARE
MI
Enumeration date
12/06/2005
Last updated
04/08/2014
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