Roger W Park in Marshfield - Pediatric Gastroenterology
Roger W Park - NPI 1174623409
Roger W Park is a Pediatric Gastroenterology in Marshfield, Wisconsin. Roger W Park practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Roger W Park is 1174623409. The last update date is 2010-09-28.
Roger W Park's current location address is 1000 N Oak Ave, Marshfield, Wisconsin. You can contact this provider via phone number 7153875511. The mailing address for Roger W Park is 1000 N Oak Ave, Marshfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger W Park |
|---|---|
| Address | 1000 N Oak Ave, Marshfield, Wisconsin |
| Phone Number | 7153875511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1174623409 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2010-09-28 |
Provider Mailing Address Detail
| Address | 1000 N Oak Ave |
|---|---|
| City | Marshfield |
| State | Wisconsin (WI) |
| Post Code | 544495703 |
| Phone Number | 7153875511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 29100 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31377900 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Roger W Park by the Centers for Medicare & Medicaid Services?
The Roger W Park has been issued the NPI (National Provider Identifier) 1174623409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roger W Park is physically located?
The Roger W Park is physically situated at the following address: 1000 N Oak Ave, Marshfield, WI, 544495703.
What is Roger W Park's area of expertise and its corresponding taxonomy classification?
The Roger W Park's field of specialization is Pediatric Gastroenterology, and it falls under the taxonomy code 2080P0206X, which categorizes healthcare providers based on their areas of practice.
On what date did Roger W Park receive its 1174623409 assignment from the Centers for Medicare & Medicaid Services?
The Roger W Park was assigned its 1174623409 on 2006-09-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Roger W Park most recently updated or revised?
The information pertaining to Roger W Park, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-28.