Park, Rosemary Haesung

Park, Rosemary Haesung is an individual health care provider with primary practice located at 26850 Providence Pkwy Suite 315, Novi MI 48374-1213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Park, Rosemary Haesung can be contacted via phone (248) 465-4340.

Contact Information

Primary practice address
26850 Providence Pkwy Suite 315 Novi MI 48374-1213
Phone: (248) 465-4340
Fax: (248) 465-4341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X RP066801 Michigan

Profile Details

NPI number 1750365334
LBN Legal business name Park, Rosemary Haesung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 8th, 2014 - about 11 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 1750365334 NPPES
Michigan Other C6131 M CARE
Michigan MEDICAID 4495579 M CARE

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