Se-Min John Park, LAc
Acupuncturist in Novi, MI. Individual provider (NPI-1).
NPI number1326514423
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1326514423
- Entity type
- Individual (NPI-1)
- Name
- Se-Min John Park
- Credential
- LAc
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2018
- Certification date
- Mar 22, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 5402000102 | MI | Yes |
Practice location
44150 W 12 Mile Rd Ste 300Novi, MI 48377-2649
Phone 248-238-8390
Mailing address
44150 W 12 Mile Rd Ste 300Novi, MI 48377-2649
Phone 248-238-8390
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