Dr. Mary K Karkow
Oral and Maxillofacial Pathology
N14w23833 Stone Ridge Dr Suite 240
Waukesha
, Wisconsin 53188-1157
Dr. Mary K Karkow
Oral and Maxillofacial Pathology
N14w23833 Stone Ridge Dr Suite 240
Waukesha
, Wisconsin 53188-1157
(262) 232-8777
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Mary K Karkow
- N14w23833 Stone Ridge Dr Suite 240
- Waukesha, WI
- Zip : 53188-1157
- Phone : (262) 232-8777
Second Address
- Dr. Mary K Karkow
- N14w23833 Stone Ridge Dr Suite 240
- Waukesha, WI
- Zip : 53188-1157
- Phone : (262) 232-8777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 455015 | WI |
National Provider Identifier
| NPI | 1003927625 |
|---|---|
| Provider Name | Dr. Mary K Karkow |
| First Address | Waukesha, WI 53188-1157 |
| Second Address | Waukesha, WI 53188-1157 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2006 |
| Last Update Date | 01/04/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| K400216580 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.