Glennon Kyusun Park M.D.

NPI 1033219738 - Internal Medicine - 207R00000X

NPI Details
NPI 1033219738
Gender Male
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1 VETERANS DR
MINNEAPOLIS MN, 55417-2309, US
Phone (612) 725-2000
Fax
Business Location
2070 MIDLOTHIAN RD
ROSEVILLE MN, 55113-5644, US
Phone (651) 697-1821
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 41698
Remove 1033219738 NPI Number
 

According to our database, Dr. Glennon Kyusun Park M.D. NPI is 1033219738, taxonomy code is 207R00000X and license number is 41698, license state is located at Minnesota. Glennon Kyusun Park M.D. physically located at 1 Veterans Dr, Minneapolis MN, 55417-2309. NPI Number Glennon Kyusun Park M.D. has the Individual type.

Sponsored links

1033219738 NPI number is provided on an as is basis without warranty of any kind. 1033219738 is maintained by the National Plan & Provider Enumeration System. The contents of Glennon Kyusun Park M.D. are for informational purposes only.