Individual
DR. KAREN ANN O'ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4250 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3607
(616) 455-7930
(616) 455-9952
Mailing address
4250 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3607
(616) 455-7930
(616) 455-9952
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014123
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383123607
TAX ID #
MI
Enumeration date
06/15/2005
Last updated
09/21/2012
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