Park, Heedong

Park, Heedong is an individual health care provider with primary practice located at 9463 Holly Rd Suite 102, Grand Blanc MI 48439-8351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Park, Heedong can be contacted via phone (810) 579-2600.

Contact Information

Primary practice address
9463 Holly Rd Suite 102 Grand Blanc MI 48439-8351
Phone: (810) 579-2600
Fax: (810) 579-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X HP031219 Michigan

Profile Details

NPI number 1518929082
LBN Legal business name Park, Heedong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518929082 NPPES
Michigan MEDICAID 1158145

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