Roger W Park MD

NPI 1174623409 - Pediatrics - 2080P0206X

NPI Details
NPI 1174623409
Gender Male
Enumeration Date 09/25/2006
Last Updated 09/28/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5703, US
Phone (715) 387-5251
Fax
Business Location
1000 N OAK AVE
MARSHFIELD WI, 54449-5703, US
Phone (715) 387-5511
Fax
Toxanomy
Taxonomy Code 2080P0206X
License State Wisconsin
License Number 29100
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According to our database, Roger W Park MD NPI is 1174623409, taxonomy code is 2080P0206X and license number is 29100, license state is located at Wisconsin. Roger W Park MD physically located at 1000 N Oak Ave, Marshfield WI, 54449-5703. NPI Number Roger W Park MD has the Individual type.

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1174623409 NPI number is provided on an as is basis without warranty of any kind. 1174623409 is maintained by the National Plan & Provider Enumeration System. The contents of Roger W Park MD are for informational purposes only.