Park, Woosup Michael

Park, Woosup Michael is an individual health care provider with primary practice located at 5880 University Ave , West Des Moines IA 50266-8220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Park, Woosup Michael can be contacted via phone (515) 633-3600.

Contact Information

Primary practice address
5880 University Ave West Des Moines IA 50266-8220
Phone: (515) 633-3600
Fax: (515) 288-0840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35561 Iowa

Profile Details

NPI number 1043292998
LBN Legal business name Park, Woosup Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Feb 8th, 2012 - about 13 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 1043292998 NPPES
Iowa MEDICAID 0432393
Iowa Other CD4547
Iowa Other P00110411

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