Organization
KAREN B HIMMEL MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN B HIMMEL M.D. (PRESIDENT)
(715) 732-4463
Entity
Organization
Contact information
Practice address
W3959 PANSKE RD, PORTERFIELD, WI 54159-9616
(715) 732-4463
(715) 735-9334
Mailing address
W3959 PANSKE RD, PORTERFIELD, WI 54159-9616
(715) 732-4463
(715) 735-9334
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34414
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31952800
—
WI
01
—
34414
LICENSE NUMBER
WI
01
—
4301053035
LICENSE NUMBER
MI
Enumeration date
02/15/2007
Last updated
05/16/2012
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