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

Mary Park, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891351862

Mary Park, MD is a Student in an Organized Health Care Education/Training Program in Elk River, Minnesota. Practices as a sole proprietor and works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

290 Main St NW
Elk River, MN 55330-1270
Phone: (855) 324-7843
Show map & directions

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

Additional practice locations (1)

  • 2450 Riverside Ave Fl 6, Minneapolis, MN 55454-1450 — (612) 624-4477

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 71839 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891351862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 15, 2019
Last updated in NPPESJuly 7, 2022
Certification dateMay 24, 2022
Mailing address290 Main St Nw, Elk River, MN 55330-1270

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