Provider Demographics
NPI:1558672287
Name:PARKER, MICHELLE WING-MUN (MD)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:WING-MUN
Last Name:PARKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:WING-MUN
Other - Last Name:LUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3333 BURNET AVE., ML 2011
Mailing Address - Street 2:CHILDREN'S HOSPITAL MEDICAL CENTER
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-4506
Mailing Address - Fax:513-636-7247
Practice Address - Street 1:3333 BURNET AVE., ML 2011
Practice Address - Street 2:CHILDREN'S HOSPITAL MEDICAL CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3039
Practice Address - Country:US
Practice Address - Phone:513-636-4506
Practice Address - Fax:513-636-7247
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095910208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics