Individual
PAULINE KYONSOOK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301089001
MI
208600000X
Surgery Physician
MD030406E
PA
2086S0102X
Surgical Critical Care Physician
Primary
4301089001
MI
2086S0102X
Surgical Critical Care Physician
MD030406E
PA
2086S0127X
Trauma Surgery Physician
MD030406E
PA
Other
Enumeration date
07/19/2006
Last updated
08/26/2025
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