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Individual

DR. KAREN MARIE WRIGLEY-HAAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1919 CHESTNUT ST, SUITE 105, PHILADELPHIA, PA 19103-3401
(215) 563-8440
(215) 567-4993
Mailing address
1919 CHESTNUT ST, SUITE 105, PHILADELPHIA, PA 19103-3401
(215) 563-8440
(215) 567-4993

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000841
PA
152WC0802X
Corneal and Contact Management Optometrist
OEG000841
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0062425000
INDEPENDENCE BLUE SHIELD
PA
01
450869
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/14/2006
Last updated
02/06/2008
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