Provider Demographics
NPI:1265638746
Name:PARKE, DAVID WILKIN III (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILKIN
Last Name:PARKE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:7760 FRANCE AVE S
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55435-5800
Mailing Address - Country:US
Mailing Address - Phone:952-929-1131
Mailing Address - Fax:952-897-1178
Practice Address - Street 1:7760 FRANCE AVE S
Practice Address - Street 2:SUITE 310
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55435-5800
Practice Address - Country:US
Practice Address - Phone:952-929-1131
Practice Address - Fax:952-897-1178
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
OK25653207R00000X
FLTRN12604207W00000X
FLME109699207W00000X
MN56678207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine