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

Mr. Robert Allen Parks, PA

Individual provider Physician Assistant · NPI 1255402384

Mr. Robert Allen Parks, PA is a Physician Assistant in Shelby Twp, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6300 22 Mile Rd Ste 2
Shelby Twp, MI 48317-2106
Phone: (586) 726-9860
Fax: (586) 726-9537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002251 (MI)

Record details

NPI number1255402384
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 12, 2006
Last updated in NPPESOctober 8, 2020
Certification dateOctober 8, 2020

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