National Provider Identifier Database

THOMAS PARK MD PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

THOMAS PARK M.D. PC
23077 GREENFIELD RD
SUITE 257
SOUTHFIELD, MI48075-3709
Phone: 248-552-0044
Fax: 248-423-7777
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for THOMAS PARK M.D. PC

NPI Number 1881904605
Legal business name
LBN
THOMAS PARK M.D. PC
Authorized official THOMAS PARK - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/14/2010
Last updated 10/14/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301040933

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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