Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 1858589 | MA |
N | 204E00000X | Oral & Maxillofacial Surgeon | 283018 | MA |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 2901021204 | MI |
NPI | 1043623473 |
---|---|
Provider Name | Karen Ziarnowski Carver |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2014 |
Last Update Date | 01/07/2021 |