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

Alice Jeanne Park, MD

Individual provider Family Medicine Physician · NPI 1386955771

Alice Jeanne Park, MD is a Family Practice in Troy, Michigan. Graduated from Loma Linda University School of Medicine in 2010, 16 years ago. Practices with Quantum Bay Area Hospitalist Medical Group Inc, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Oregon.

Years since qualifying
16
Trained at
Loma Linda University School of Medicine
Licensed in
MI, OR
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3600 Nw Samaritan Dr, Corvallis, OR 97330-5472 — (541) 768-5111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD210848 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301096950 (MI)

Record details

NPI number1386955771
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Quantum Bay Area Hospitalist Medical Group Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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