Individual
MARLA G KARRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2120 N 27TH ST, DECATUR, IL 62526
(217) 423-4300
(217) 423-3428
Mailing address
2120 N 27TH ST, DECATUR, IL 62526-2191
(217) 423-4300
(217) 423-3428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006586
IL
363A00000X
Physician Assistant
5601007823
MI
Other
Enumeration date
07/28/2016
Last updated
11/25/2019
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