Individual
SUN PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26184 W. OUTER DR, LINCOLN PARK, MI 48146-2084
(313) 389-7500
Mailing address
3885 WABEEK LAKE DR E, BLOOMFIELD HILLS, MI 48302-1259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301035527
MI
Other
Enumeration date
07/06/2006
Last updated
06/18/2008
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