Individual
KAREN MARIE WALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1934 SECURITY DRIVE, YORK, PA 17402
(717) 741-3761
(717) 741-9495
Mailing address
69 BROOKVIEW DRIVE, LITITZ, PA 17543
(717) 741-3761
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD061740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133197
BLUE SHIELD LEGACY NUMBER
PA
Enumeration date
04/16/2007
Last updated
11/16/2007
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