Woosup Michael Park
Vascular Surgeon
5880 University Ave
West Des Moines
, Iowa 50266-8220
Woosup Michael Park
Vascular Surgeon
5880 University Ave
West Des Moines
, Iowa 50266-8220
(515) 633-3838
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Woosup Michael Park
- 5880 University Ave
- West Des Moines, IA
- Zip : 50266-8220
- Fax : (515) 633-3838
- Phone : (515) 633-3835
Second Address
- Woosup Michael Park
- 5880 University Ave
- West Des Moines, IA
- Zip : 50266-8220
- Fax : (515) 288-0840
- Phone : (515) 633-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 35561 | IA |
National Provider Identifier
| NPI | 1043292998 |
|---|---|
| Provider Name | Woosup Michael Park |
| First Address | West Des Moines, IA 50266-8220 |
| Second Address | West Des Moines, IA 50266-8220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/11/2005 |
| Last Update Date | 08/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0432393 | (05) | IA |
| CD4547 | RAILROAD MEDICARE GROUP # (01) | IA |
| H17775 | (02) | IA |
| P00110411 | RAILROAD MEDICARE (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.