Stephen Matthew Park, MD | |
700 East Woodland Dr, Saline, MI 48176-1620 | |
(734) 429-2302 | |
Not Available |
Full Name | Stephen Matthew Park |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 700 East Woodland Dr, Saline, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699781864 | NPI | - | NPPES |
3371174 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301061787 (Michigan) | Primary |
Entity Name | Regents Of The University Of Michigan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325 |
Mailing Address | Practice Location Address |
---|---|
Stephen Matthew Park, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Stephen Matthew Park, MD 700 East Woodland Dr, Saline, MI 48176-1620 Ph: (734) 429-2302 |
Hannah Katherine Donaldson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Woodland Dr, Saline, MI 48176 Phone: 734-429-2302 Fax: 734-429-1879 | |
Dr. Lindsey Ann Long, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Woodland Dr, Saline, MI 48176 Phone: 734-429-2302 | |
Jill A Noble, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 East Woodland Dr, Saline, MI 48176 Phone: 734-429-2302 | |
Michael William Anacker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 East Woodland Dr, Saline, MI 48176 Phone: 734-429-2302 | |
Tiana Janeen Hughes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Woodland Dr, Saline, MI 48176 Phone: 734-539-5080 | |
Shayla Lynn Salgado, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Woodland Dr, Saline, MI 48176 Phone: 734-539-5080 |