NPI 1184614638

Susan E Park, MD

Practitioner Ophthalmology Physician South Bend, IN

Practice location

Address: 211 N Eddy St, South Bend, IN 46617-2808
Phone: (574) 237-9334
Fax: (574) 239-1569

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 01052506A (IN)

Other Ophthalmology providers in Indiana →

Registry record

NPI: 1184614638
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Oct 2005
Record last updated: 3 Aug 2016

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.