Provider Demographics
NPI:1093805319
Name:HUBER, KARRI ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:KARRI
Middle Name:ANN
Last Name:HUBER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:500 W DREXEL AVE
Mailing Address - Street 2:
Mailing Address - City:OAK CREEK
Mailing Address - State:WI
Mailing Address - Zip Code:53154-2031
Mailing Address - Country:US
Mailing Address - Phone:414-346-8000
Mailing Address - Fax:414-346-8010
Practice Address - Street 1:7901 S 6TH ST
Practice Address - Street 2:
Practice Address - City:OAK CREEK
Practice Address - State:WI
Practice Address - Zip Code:53154-2010
Practice Address - Country:US
Practice Address - Phone:414-346-8000
Practice Address - Fax:414-346-8010
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2018-11-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI51232207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIK400158122Medicare PIN