Individual
KAREN M HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4001 CARRICK DR STE 150, MEDINA, OH 44256-5392
(330) 721-8500
(330) 721-8510
Mailing address
24701 EUCLID AVE, THIRD FLOOR - BILLING SERVICES, EUCLID, OH 44117-1714
(330) 721-8500
(330) 721-8510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071126
OH
208000000X
Pediatrics Physician
35071126
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2118238
—
OH
Enumeration date
09/15/2006
Last updated
12/02/2020
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