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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HEEDONG PARK M.D.
NPI 1518929082
Surgery in Grand Blanc, MI

Active since April 03, 2006
9463 HOLLY RD, SUITE 102, GRAND BLANC, MI 48439(810) 579-2600(810) 579-2601 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Heedong Park M.d. NPPES

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

DR. HEEDONG PARK M.D. (NPI 1518929082) is an individual surgery provider in Grand Blanc, Michigan, licensed in Michigan (HP031219) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1518929082
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. HEEDONG PARKCredential: M.D.
Location Address9463 HOLLY RD, SUITE 102Grand Blanc, MI 48439-8351
Mailing Address9463 Holly Rd, Suite 102Grand Blanc, MI 48439-8351 · (810) 579-2600 · Fax (810) 579-2601
Phone(810) 579-2600
Fax(810) 579-2601
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1518929082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · HP031219
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9463 HOLLY RD, Grand Blanc, MI 48439
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Other Identifiers 1

Medicaid1158145MI

Other Providers at the Same Location NPPES 11

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

DR. BRIAN SCOTT SHAPIRO M.D.
Surgery
9463 HOLLY RD, SUITE 102
GRAND BLANC, MI 48439
Genesee County (810) 579-2600
DR. OK KYUN KANG M.D.
Surgery
9463 HOLLY RD, SUITE 102
GRAND BLANC, MI 48439
Genesee County (810) 579-2600
DR. JOHN M ULRICH DO
Otolaryngology (Facial Plastic Surgery)
9463 HOLLY RD, SUITE 100
GRAND BLANC, MI 48439
Genesee County (810) 695-3766
ELITE EMS LLC
Ambulance (Land Transport)
9463 HOLLY RD, STE 104
GRAND BLANC, MI 48439
Genesee County (810) 599-9321
AMBER JEANETTE HERMANN
Audiologist
9463 HOLLY RD, SUITE 100
GRAND BLANC, MI 48439
Genesee County (810) 695-3766
CHRISTOPHER F HERZOG, D.O., PC
Ophthalmology
9463 HOLLY RD, STE 101
GRAND BLANC, MI 48439
Genesee County (810) 603-2020
CHRISTOPHER F HERZOG D.O.
Ophthalmology
9463 HOLLY RD, SUITE 101
GRAND BLANC, MI 48439
Genesee County (810) 603-2020
J MARTIN ULRICH DO PC
Otolaryngology
9463 HOLLY RD, STE 100
GRAND BLANC, MI 48439
Genesee County (810) 695-3766

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 Heedong Park's NPI number?

The NPI number for Heedong Park is 1518929082. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Heedong Park located?

Heedong Park practices at 9463 Holly Rd Suite 102, Grand Blanc, MI 48439. The listed phone number is (810) 579-2600.

What is Heedong Park's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Heedong Park was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.