Basic Information
Provider Information
NPI: 1669591988
EntityType: 2
ReplacementNPI:  
OrganizationName: KAREN A WOHLEN MD
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: PO BOX 30695
Address2:  
City: SPOKANE
State: WA
PostalCode: 992233011
CountryCode: US
TelephoneNumber: 5099261770
FaxNumber: 5092289542
Practice Location
Address1: 801 W 5TH AVE
Address2:  
City: SPOKANE
State: WA
PostalCode: 992042823
CountryCode: US
TelephoneNumber: 5099261770
FaxNumber: 5092289542
Other Information
ProviderEnumerationDate: 03/28/2007
LastUpdateDate: 10/09/2007
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: WOHLEN
AuthorizedOfficialFirstName: KAREN
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5099261770
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD00027946WAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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