| Doctor Name: | WOOSUP MICHAEL PARK |
| NPI Number: | 1043292998 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35561 |
| Business Practice Address: | 5880 University Ave West Des Moines, IA - 502668220 |
| Business Phone Number: | 5156333600 |
| Business Fax Number: | 5152880840 |
| Mailing Address: | 5880 University Ave, WEST DES MOINES |
| State: | IA |
| Postal Code: | 502668220 |
| Phone Number: | 5156333835 |
| Fax Number: | 5156333838 |
| NPI Enumeration Date: | 11/16/2005 |
| NPI Last Update Date: | 02/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 35561 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |