Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Park OB GYN

Organization Obstetrics & Gynecology Physician · NPI 1821304288

Park OB GYN is an Obstetrics & Gynecology Physician in Clinton Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010

Practice location Address checks out

16570 19 Mile Rd
Clinton Twp, MI 48038-1106
Phone: (586) 263-7660
Fax: (586) 263-4727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301037049 (MI)

Record details

NPI number1821304288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chankee Park — Physician President · (586) 263-7660
NPI enumeratedAugust 24, 2010
Last updated in NPPESFebruary 17, 2011
Mailing address16570 19 Mile Rd, Clinton Twp, MI 48038-1106

Other providers in Clinton Twp