Search › Ohio › 225200000X
Chan Jin Park
NPI 1649006883 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1604 Roosevelt Ave
Toledo, OH 43607 - Phone
- (419) 340-6188
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- MI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio