Individual
KAREN M WARMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003510
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440EO11670
BCBS
MI
Enumeration date
12/28/2006
Last updated
10/16/2023
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