| Kyu Park Md Inc | |
|
107 Houpt Dr Upper Sandusky OH 43351-9201 | |
| (419) 294-5757 | |
| (419) 209-0623 |
| Full Name | Kyu Park Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 107 Houpt Dr, Upper Sandusky, Ohio |
| Authorized Official Name and Position | Kyle K Park (PRESIDENT KYU PARK MD INC) |
| Authorized Official Contact | 4192945757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyu Park Md Inc 107 Houpt Dr Upper Sandusky OH 43351-9201 Ph: (419) 294-5757 | Kyu Park Md Inc 107 Houpt Dr Upper Sandusky OH 43351-9201 Ph: (419) 294-5757 |
| NPI Number | 1902888712 |
|---|---|
| Provider Enumeration Date | 11/17/2005 |
| Last Update Date | 04/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902888712 | NPI | - | NPPES |
| 2199811 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Upper Sandusky Medical Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 N Sandusky Ave, Upper Sandusky, OH 43351 Phone: 419-294-2375 Fax: 419-294-2412 | |
Wyandot Medical Providers At Tarhe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Tarhe Trl, Upper Sandusky, OH 43351 Phone: 419-294-1525 Fax: 419-209-0252 |