Individual
DR. KAREN PHYLIS WIARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 LERNA RD S, CARDIOVASCULAR AND THORACIC SURGERY, MATTOON, IL 61938-9384
(217) 904-7000
(217) 904-7748
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016549
MI
207RC0000X
Cardiovascular Disease Physician
Primary
036140067
IL
207RC0000X
Cardiovascular Disease Physician
071651
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
5101016549
MI
Other
Enumeration date
05/23/2007
Last updated
03/12/2025
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