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STEPHEN RICHARD PARK
NPI 1447276514
Family Medicine in Grand Rapids, MN

Active since July 14, 2006
1542 GOLF COURSE RD STE 204, GRAND RAPIDS, MN 55744(218) 999-7000(218) 999-7099 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Stephen Richard Park NPPES

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

STEPHEN RICHARD PARK (NPI 1447276514) is an individual family medicine provider in Grand Rapids, Minnesota, licensed in Minnesota (25060) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1447276514
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN RICHARD PARK
Location Address1542 GOLF COURSE RD STE 204Grand Rapids, MN 55744-3555
Mailing Address1542 Golf Course Rd Ste 204Grand Rapids, MN 55744-3555 · (218) 999-7000 · Fax (218) 999-7099
Phone(218) 999-7000
Fax(218) 999-7099
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateMay 1, 2018
✔ NPI 1447276514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 25060
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1542 GOLF COURSE RD STE 204, Grand Rapids, MN 55744
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Other Identifiers 1

Medicaid302568300MN

Other Providers at the Same Location NPPES 12

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

MISS MEG E. RAHN PA
Physician Assistant
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
MS. SHARON ELIZABETH BUESING APRN, FNP
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
NATALIE JANE GUSTAFSON NP
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
THE DULUTH CLINIC LTD
Clinic/Center (Multi-Specialty)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
OLIVIA ANN ERVEN PA-C
Physician Assistant
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
DANIKA JO NICHOLS APRN/CNP
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
DR. KRISTA ANN SKORUPA MD
Family Medicine
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000
KELLEY L JENSEN APRN, CNP
Nurse Practitioner (Family)
1542 GOLF COURSE RD STE 204
GRAND RAPIDS, MN 55744
Itasca County (218) 999-7000

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 Stephen Park's NPI number?

The NPI number for Stephen Park is 1447276514. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Stephen Park located?

Stephen Park practices at 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744. The listed phone number is (218) 999-7000.

What is Stephen Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Park was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.