Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD453106 | PA |
Y | 207VE0102X | Reproductive Endocrinologist | 4301109342 | MI |
NPI | 1134482268 |
---|---|
Provider Name | Dr. Karen Condon Wheeler |
First Address | Troy, MI 48084 |
Second Address | Troy, MI 48084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 06/03/2019 |