Provider Demographics
NPI:1073502746
Name:MATHEWS, KAREN MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MICHELLE
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1004
Mailing Address - Street 2:CENTRAL STATE UNIVERSITY STUDENT HEALTH CENTER
Mailing Address - City:WILBERFORCE
Mailing Address - State:OH
Mailing Address - Zip Code:45384-5800
Mailing Address - Country:US
Mailing Address - Phone:937-376-6076
Mailing Address - Fax:937-376-6647
Practice Address - Street 1:1400 BRUSH ROW RD
Practice Address - Street 2:CENTRAL STATE UNIVERSITY STUDENT HEALTH CENTER
Practice Address - City:WILBERFORCE
Practice Address - State:OH
Practice Address - Zip Code:45384-5800
Practice Address - Country:US
Practice Address - Phone:937-376-6076
Practice Address - Fax:937-376-6098
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2019-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35-05-6591-M207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine