Stephen Richard Park
Stephen Richard Park is a Family Medicine Physician in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
Practice location Address checks out
1542 Golf Course Rd Ste 204Grand Rapids, MN 55744-3555
Phone: (218) 999-7000
Fax: (218) 999-7099
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 25060 (MN) |
|---|
Record details
| NPI number | 1447276514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | May 1, 2018 |
| Mailing address | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 |
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