Michael Park, MD - Allergy & Immunology in Portage, MI

Michael Park, MD is a Allergy & Immunology physician based in Portage, Michigan. Michael Park is licensed to practice in Michigan (license number 4301063179) and his current practice location is 430 W Centre Ave, Portage, Michigan. He can be reached at his office (for appointments etc.) via phone at (269) 321-6673.

NPI number for Michael Park is 1942204680 and his current mailing address is 430 W Centre Ave, Portage, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942204680.

Contact Information

Michael Park, MD
430 W Centre Ave,
Portage, MI 49024-5304
(269) 321-6673
(269) 324-5594



Physician's Profile

Full NameMichael Park
GenderMale
SpecialityAllergy & Immunology
Location430 W Centre Ave, Portage, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1942204680
  • Provider Enumeration Date: 06/10/2005
  • Last Update Date: 07/16/2007

Medical Identifiers

Medical identifiers for Michael Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942204680NPI-NPPES
4111376MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology 4301063179 (Michigan)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. Michael 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 AddressPractice Location Address
Michael Park, MD
430 W Centre Ave,
Portage, MI 49024-5304

Ph: (269) 321-6673
Michael Park, MD
430 W Centre Ave,
Portage, MI 49024-5304

Ph: (269) 321-6673

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› Verified 8 days ago


Allergy & Immunology Doctors in Portage, MI


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