| Doctor Name: | DR. MICHAEL P. PARKER |
| NPI Number: | 1023033479 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35053127 |
| Business Practice Address: | 433 West High Street Bryan, OH - 435061690 |
| Business Phone Number: | 4196361131 |
| Business Fax Number: | |
| Mailing Address: | 259 Autumn Leaf Court, COLUMBUS |
| State: | OH |
| Postal Code: | 432354417 |
| Phone Number: | 6143966189 |
| Fax Number: | |
| NPI Enumeration Date: | 07/13/2006 |
| NPI Last Update Date: | 01/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 35053127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |