Individual provider · Type 1 NPI

Ingrid Park, MDCM

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1952591638 Active

Practice location

1110 Euclid Ave
Cleveland, OH 44115-1603

Call (216) 844-1000 Map

Mailing address

2085 Cornell Rd, 211
Cleveland, OH 44106-3858

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952591638

Ingrid Park, MDCM's National Provider Identifier is 1952591638, issued on Jul 27, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Jul 27, 2007.