Provider Demographics
NPI:1134482268
Name:WHEELER, KAREN CONDON (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:CONDON
Last Name:WHEELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:CONDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:130 TOWN CENTER DRIVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084
Mailing Address - Country:US
Mailing Address - Phone:248-619-3100
Mailing Address - Fax:248-619-9031
Practice Address - Street 1:130 TOWN CENTER DRIVE
Practice Address - Street 2:SUITE 106
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084
Practice Address - Country:US
Practice Address - Phone:248-619-3100
Practice Address - Fax:248-619-9031
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD453106207V00000X
MI4301109342207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology