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Contact Information

ROGER W PARK, MD
1000 N OAK AVE
MARSHFIELD, WI54449-5703
 Phone: 715-387-5251
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ROGER W PARK · (Male)

NPI # 1174623409
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 09/28/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 29100
  • WI Medicaid 31377900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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