TIMOTHY PARK DO NPI 1275382723

NPI Information

  • NPI: 1275382723
  • Provider Name: TIMOTHY PARK, DO
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 788 SERVICE RD # B-401
    EAST LANSING, MI
    ZIP 48824
  • Phone: (517) 884-2488

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NPI Details

Timothy Park, DO is a neurology psychiatry neurology in East Lansing, MI. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Timothy Park, DO NPI is 1275382723. 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:

788 SERVICE RD # B-401
EAST LANSING, MI
ZIP 48824-013
Phone: (517) 884-2488

The enumeration date for this NPI number is 5/16/2024 and was last updated on 5/16/2024.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology5151016962MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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