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

Michael Park, MD

Individual provider Allergy & Immunology Physician · NPI 1942204680

Michael Park, MD is an Allergy & Immunology Physician in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
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

430 W Centre Ave
Portage, MI 49024-5304
Phone: (269) 321-6673
Fax: (269) 324-5594
Show map & directions

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

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence 4301063179 (MI)

Record details

NPI number1942204680
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 10, 2005
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026
Mailing address430 W Centre Ave, Portage, MI 49024-5304

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