NPI 1144337460

John R Park, MD

Practitioner Otolaryngology Physician Burlington, WI

Practice location

Address: 248 McHenry St, Burlington, WI 53105
Phone: (262) 767-8260
Fax: (262) 767-8212
Mailing address: 30805 Cedar Dr, Burlington, WI 53105-9479

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 23675 (WI)

Other Otolaryngology providers in Wisconsin →

Registry record

NPI: 1144337460
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2006
Record last updated: 26 Aug 2015

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.