National Provider Identifier Database

WOOSUK PARK, MD – NPI #1366453656
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

WOOSUK PARK, MD
10400 75TH ST
KENOSHA, WI53142
Phone: 629-487-0002
Fax:
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X

* Indicates primary specialty

NPI Profile & details for WOOSUK PARK

NPI Number 1366453656
Credentials MD
Entity Individual
Enumeration date 08/11/2006
Last updated 10/15/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 49236
  • WI Medicaid: 34878800
  • WI Other: 391264986 TAX ID
Hospital affiliation n/a

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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