Search › Minnesota › 207T00000X
Michael Park, M.D., PH.D
NPI 1942427117 · on the registry since 2007 · sole proprietor
Practice
- Address
- 516 Delaware St Se
Clinic 1a
Minneapolis, MN 55455 - Phone
- (612) 624-6666
- Fax
- (612) 624-0644
- Organisation at this address
- University Of Minnesota
Regents Of The University Of Minnesota
University Of Minnesota Department Of OphthalmologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 202
Additional practice sites
- 3931 Louisiana Ave S, St Louis Park, MN
Registry record
- Primary taxonomy
- 207T00000X
207T00000X
- Also registered as
- 207T00000X
- Licence states on file
- MN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-20
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 Minnesota