| Stephen Richard Park, | |
|
1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | |
| (218) 999-7000 | |
| (218) 999-7099 |
| Full Name | Stephen Richard Park |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1542 Golf Course Rd Ste 204, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447276514 | NPI | - | NPPES |
| 302568300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25060 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Richard Park, 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 Ph: (218) 999-7000 | Stephen Richard Park, 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 Ph: (218) 999-7000 |
Dr. Patricia C. Carlin-janssen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Anne Eileen Tofte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Edwin A. Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Kristin A Johnson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 409 Se 13th St, Grand Rapids, MN 55744 Phone: 218-326-9100 Fax: 218-326-9200 | |
Dr. Timothy J. Pehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Michael B. Liebe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Arie Degrio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-1442 Fax: 218-999-1461 |