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

Dr. Michael Chankwon Park, MD, PHD

Individual provider Neurological Surgery Physician · NPI 1942427117

Dr. Michael Chankwon Park, MD, PHD is a Neurosurgery in Minneapolis, Minnesota. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2002, 24 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Minnesota.

Years since qualifying
24
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KY, MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

516 Delaware St SE Clinic 1A
Minneapolis, MN 55455-0356
Phone: (612) 624-6666
Fax: (612) 624-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 — (952) 993-3230

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 58653 (MN)
Neurological Surgery Physician Taxonomy 207T00000X · Licence TP326 (KY)

Record details

NPI number1942427117
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2002 (24 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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