IndividualActive
Jungje Park, MD
NPI 1487542619 · Student in an Organized Health Care Education/Training Program · Ann Arbor, MI
Provider details
- NPI number
- 1487542619
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4351054328 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 4351054328 (MI)
Student, Health Care
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1500 E. Medical Center Dr.
Tc B1380 Spc 5305
Ann Arbor, MI 48109
Phone: (734) 763-7919
Street-level locationGet directions
Mailing address
1500 E. Medical Center Dr.
Ann Arbor, MI 48109
Registry dates
- Enumerated
- 2025-06-26
- Last updated
- 2025-06-26
- Certified
- 2025-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.