Roger W. Park, MD

Gastroenterology Physician · Marshfield, WI

Individual Active NPI

NPI number 1174623409

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone
(715) 387-5251

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NPI record

NPI
1174623409
Entity type
Individual (Type 1)
Enumeration date
September 25, 2006
Last updated
September 28, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Gastroenterology Physician Primary 207RG0100X 29100 WI
Pediatric Gastroenterology Physician 2080P0206X 29100 WI

About Dr. Park

Roger W. Park, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Gastroenterology Physician (code 207RG0100X). The practice location is 1000 N Oak Ave, Marshfield, WI 54449-5703. The NPI number 1174623409 was assigned on September 25, 2006 and the record was last updated on September 28, 2010.

Dr. Park lists 2 licenses in the registry: #29100 (WI) for Gastroenterology Physician; #29100 (WI) for Pediatric Gastroenterology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger W. Park, MD?

The NPI number is 1174623409.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (715) 387-5251.

Where is Dr. Park located?

1000 N Oak Ave, Marshfield, WI 54449-5703.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 207RG0100X – Gastroenterology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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