June Park, is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. June Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
3421 Russell Ave N, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 703-5353.
NPI number for June Park is 1457072837 and her current mailing address is 3421 Russell Ave N, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457072837.
Provider's Profile
| Full Name | June Park |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3421 Russell Ave N, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1457072837
- Provider Enumeration Date: 09/06/2022
- Last Update Date: 09/06/2022
Medical Identifiers
Medical identifiers for June Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457072837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. June Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
June Park,
3421 Russell Ave N,
Minneapolis, MN 55412-2237
Ph: () - | June Park,
3421 Russell Ave N,
Minneapolis, MN 55412-2237
Ph: (651) 703-5353 |
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