Whalio Doctors

NPI 1043292998

Woosup Michael Park, MD

Practitioner Vascular Surgery Physician West Des Moines, IA

Practice location

Address
5880 University Ave, West Des Moines, IA 50266-8220
Phone
(515) 633-3600
Fax
(515) 288-0840

Registered specialties

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 35561 (IA)

Registry record

NPI
1043292998
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Nov 2005
Record last updated
8 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.