WOOSUP MICHAEL PARK M.D. NPI 1043292998

NPI Information

Woosup Michael Park, M.D. is a vascular surgery surgery in West Des Moines, IA with 30 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Woosup Michael Park, M.D. NPI is 1043292998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5880 UNIVERSITY AVE
WEST DES MOINES, IA
ZIP 50266-220
Phone: (515) 633-3600
Fax: (515) 288-0840

The NPI 1043292998 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2005 and was last updated on 2/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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