NPI 1215616818
Ted Park
Practice location
- Address
- 1221 W Lake St STE 200, Minneapolis, MN 55408-3565
- Phone
- (612) 824-1036
- Mailing address
- 1477 W Lake St # N318, Minneapolis, MN 55408-5099
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1215616818
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Jul 2023
- Record last updated
- 12 Jul 2023
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.