Provider Demographics
NPI:1144802778
Name:PREETHISHIA, KARIN (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:
Last Name:PREETHISHIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TOWN HALL HEALTH CENTER FAMILY MEDICINE, 4TH FLOOR
Mailing Address - Street 2:W180 N8000 TOWN HALL ROAD
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TOWN HALL HEALTH CENTER FAMILY MEDICINE, 4TH FLOOR
Practice Address - Street 2:W180 N8000 TOWN HALL ROAD
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051
Practice Address - Country:US
Practice Address - Phone:262-532-3265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-23
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8179820207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program