Individual
ANGELA R. KARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7938 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 436-8583
(260) 432-8748
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3516
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01065197A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000680197
ANTHEM
IN
05
—
200909910
—
IN
01
—
9360077
AETNA
—
Enumeration date
06/05/2007
Last updated
10/01/2020
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