K L Park MD

NPI 1063441491 - Family Medicine - 207Q00000X

NPI Details
NPI 1063441491
Gender Male
Enumeration Date 06/30/2006
Last Updated 05/20/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
442 W HIGH ST
BRYAN OH, 43506-1681, US
Phone (419) 636-4517
Fax (419) 636-6438
Business Location
442 W HIGH ST
BRYAN OH, 43506-1681, US
Phone (419) 636-4517
Fax (419) 636-6438
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35-055915
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According to our database, K L Park MD NPI is 1063441491, taxonomy code is 207Q00000X and license number is 35-055915, license state is located at Ohio. K L Park MD physically located at 442 W High St, Bryan OH, 43506-1681. NPI Number K L Park MD has the Individual type.

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1063441491 NPI number is provided on an as is basis without warranty of any kind. 1063441491 is maintained by the National Plan & Provider Enumeration System. The contents of K L Park MD are for informational purposes only.