Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MK008760 | MI |
NPI | 1013912237 |
---|---|
Provider Name | Dr. Mark T Karnes |
First Address | Muskegon, MI 49442-2459 |
Second Address | Muskegon, MI 49442-2459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E26381 | (02) | MI |