Individual
DR. KAREN SUE WAGENHALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8486
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8486
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-041504
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2289161
—
OH
Enumeration date
10/13/2006
Last updated
07/08/2007
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