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Individual

KAREN HARLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4623 WESLEY AVE, SUITE P, CINCINNATI, OH 45212-2246
(513) 841-0777
(513) 841-0877
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(855) 618-6655

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35044502
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000184870
ANTHEM
OH
05
0489903
OH
Enumeration date
07/15/2005
Last updated
07/10/2014
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