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MARISHA PARK
NPI 1225403512
Specialist/Technologist, Other - Electroneurodiagnostic in Ann Arbor, MI

Active since December 11, 2015
812 AVIS DR, ANN ARBOR, MI 48108(734) 213-3931(734) 926-0090 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marisha Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISHA PARK (NPI 1225403512) is an individual electroneurodiagnostic provider in Ann Arbor, Michigan and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1225403512
Entity TypeIndividualFemale
Primary Taxonomy246ZE0600X
Provider Legal NameMARISHA PARK
Location Address812 AVIS DRAnn Arbor, MI 48108-9649
Mailing Address812 Avis DrAnn Arbor, MI 48108-9649 · (734) 213-3931 · Fax (734) 926-0090
Phone(734) 213-3931
Fax(734) 926-0090
Sole ProprietorNo
Enumeration DateDecember 11, 2015
✔ NPI 1225403512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
812 AVIS DR, Ann Arbor, MI 48108
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEUROMED, INC.
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (800) 638-7564
JUSTIN TSAY
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (800) 994-8457
NEURALWATCH INDIANA LLC
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (734) 213-3920
NEURAL WATCH LLC
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (734) 213-3931
MICHAEL DETRISAC
Technician, Other (EEG)
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (734) 622-3920
NEURALWATCH TEXAS PLLC
Specialist
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (800) 638-7564
JOHN DAVID SODERSTROM CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (734) 717-2983
KEVIN HUDDLESTON
Specialist/Technologist, Other (Electroneurodiagnostic)
812 AVIS DR
ANN ARBOR, MI 48108
Washtenaw County (734) 213-3931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marisha Park's NPI number?

The NPI number for Marisha Park is 1225403512. It was assigned to this individual provider in the NPPES registry on December 11, 2015.

Where is Marisha Park located?

Marisha Park practices at 812 Avis Dr, Ann Arbor, MI 48108. The listed phone number is (734) 213-3931.

What is Marisha Park's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Electroneurodiagnostic, with taxonomy code 246ZE0600X.

When was this NPI record last updated?

The NPPES record for Marisha Park was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.