Individual
DR. KAREN MARY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5333 MCAULEY DR RM 1000, YPSILANTI, MI 48197-1024
(734) 712-5898
(734) 712-5084
Mailing address
5333 MCAULEY DR RM 1000, YPSILANTI, MI 48197-1024
(734) 712-5898
(734) 712-5084
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301079007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0813610
BCBS OF MI PIN
MI
01
—
1243118
UNITED HEALTHCARE NO
MI
01
—
138112
CARE CHOICE INDIVIDUAL NO
MI
01
—
5412048
AETNA INDIVIDUAL NO
MI
Enumeration date
09/20/2006
Last updated
09/24/2025
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