Park, Michael Chankwon

Park, Michael Chankwon is an sole proprietor health care provider with primary practice located at 516 Delaware St Se Clinic 1A, Minneapolis MN 55455-0356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Park, Michael Chankwon can be contacted via phone (612) 624-6666.

Contact Information

Primary practice address
516 Delaware St Se Clinic 1A Minneapolis MN 55455-0356
Phone: (612) 624-6666
Fax: (612) 624-0644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 58653 Minnesota
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X TP326 Kentucky

Profile Details

NPI number 1942427117
LBN Legal business name Park, Michael Chankwon
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2007
Last updated Dec 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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