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NPI Code Detail

MEDICARE: DR. DAVID WILKIN PARKE III MD

MEDICARE: DR. DAVID WILKIN PARKE III MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25653OK
2207W00000XOphthalmology PhysicianTRN12604FL
3207W00000XOphthalmology PhysicianME109699FL
4207W00000XOphthalmology Physician56678MN

General Provider Information

NPI Number : 1265638746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID WILKIN PARKE III MD
Provider Business Mailing Address
First Line : 7760 FRANCE AVE S
Second Line : SUITE 310
City : MINNEAPOLIS
State : MN
Zip : 55435-5800
Country : US
Telephone Number : 952-929-1131
Fax Number : 952-897-1178
Provider Business Practice Location Address
First Line : 7760 FRANCE AVE S
Second Line : SUITE 310
City : MINNEAPOLIS
State : MN
Zip : 55435-5800
Country : US
Telephone Number : 952-929-1131
Fax Number : 952-897-1178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2007
Last Update Date : 09/26/2013

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