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Contact Information

MICHAEL C PARK, M.D., PH.D.
516 DELAWARE ST SE
CLINIC 1A
MINNEAPOLIS, MN55455-0356
 Phone: 612-624-6666
 Fax: 612-624-0644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL C PARK · (Male)

NPI # 1942427117
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 04/19/2007
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • KY License # TP326
  • MN License # 58653
Hospital affiliation(s)
  • UNIVERSITY OF MINNESOTA MEDICAL CENTER FAIRVIEW - (Acute Care)
    2450 RIVERSIDE AVENUE
    MINNEAPOLIS, MN 55454
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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