Individual
ANDREW JI HOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-7437
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
(313) 916-7437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301508806
MI
Other
Enumeration date
04/01/2020
Last updated
10/30/2023
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