Whalio Doctors

NPI 1053352930

Jongsok Pak, MD

Practitioner Psychiatry Physician St Louis Park, MN

Practice location

Address
3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone
(952) 993-3307
Mailing address
8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 48505 (MN)

Registry record

NPI
1053352930
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jun 2006
Record last updated
10 Mar 2021

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.