T W Park Md Pc

NPI 1275721458 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1275721458
Enumeration Date 10/12/2007
Last Updated 05/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANN ANN
Position BILLING MANAGER
Phone (313) 295-5696
Fax
Practice Location
10000 TELEGRAPH RD
TAYLOR MI, 48180-3330, US
Phone (313) 295-5696
Fax
Business Location
5623 E DUNBAR RD
MONROE MI, 48161-9127, US
Phone (734) 241-3891
Fax (734) 241-0014
Toxanomy
Taxonomy Code 2084P0800X
License State Michigan
License Number 4301035528
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According to our database, T W Park Md Pc NPI is 1275721458, taxonomy code is 2084P0800X and license number is 4301035528, license state is located at Michigan. T W Park Md Pc physically located at 10000 Telegraph Rd, Taylor MI, 48180-3330. NPI Number 1033115704 has the healthcare provider type.

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1275721458 NPI number is provided on an as is basis without warranty of any kind. 1275721458 is maintained by the National Plan & Provider Enumeration System. The contents of T W Park Md Pc are for informational purposes only.