Douglas J Park (NPI# 1912967019, PAC ID# 9931183431) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1912967019 |
| PAC ID by PECOS | 9931183431 |
| Professional Enrollment ID | I20040614001000 |
| Full Name | Douglas J Park |
| Address |
2314 Monroe St Dearborn MI 48124-3010 |
| Phone Number | 3135655937 |
| Gender | M |
| Credential | CP |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2314 Monroe St, Dearborn, MI 48124-3010 | 3135655937 |
| Street Address |
2314 MONROE ST |
| City | DEARBORN |
| State | MI |
| Zip | 48124-3010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Farkas | Nurse Practitioner | Manuel Dumlao Md PC | 2314 Monroe St, Dearborn, MI 48124-3010 |
| Manuel S Dumlao | Psychiatry | Manuel Dumlao Md PC | 2314 Monroe St, Dearborn, MI 48124-3010 |
| Norma K Shaw | Clinical Social Worker | Manuel Dumlao Md PC | 2314 Monroe St, Dearborn, MI 48124-3010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bridget A Kujansuu | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Ruby J Bowens | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Beverly J Loudon | Clinical Social Worker | Pastoral Counseling and Consultation Service | 24110 Cherry Hill St, Dearborn, MI 48124-1356 |
| Stelian Marinescu | Cardiovascular Disease (cardiology) | 23100 Cherry Hill St, Suite 7, Dearborn, MI 48124-1449 | |
| Helene C Dombrowski | Dermatology | 23100 Cherry Hill St, Suite 10, Dearborn, MI 48124-1449 | |
| Cecelia F Hissong | Family Medicine | 23100 Cherry Hill St, Suite 8, Dearborn, MI 48124-1449 | |
| Hussein T Saad | Family Practice | 23100 Cherry Hill St, Suite 9, Dearborn, MI 48124-1449 | |
| William J Peters | Podiatry | 23100 Cherry Hill St, Suite 5, Dearborn, MI 48124-1493 | |
| Nouha Alammar | Otolaryngology | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Ramsey Hammoud | Orthopedic Surgery | Spartan Surgical Associates Plc | 24530 Michigan Ave, Dearborn, MI 48124-1700 |
| Find all physicians in zip 48124 | |||
| City | DEARBORN |
| Zip Code | 48124 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | DEARBORN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Douglas J Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.