Provider Demographics
NPI:1447399027
Name:RHODES, KAREN MC (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MC
Last Name:RHODES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1035 E WILCOX AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE CLOUD
Mailing Address - State:MI
Mailing Address - Zip Code:49349-8794
Mailing Address - Country:US
Mailing Address - Phone:231-834-9788
Mailing Address - Fax:231-834-0200
Practice Address - Street 1:1615 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:MI
Practice Address - Zip Code:49304-7984
Practice Address - Country:US
Practice Address - Phone:231-745-2743
Practice Address - Fax:231-745-3690
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101008255207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1447399027Medicaid
MI700H228520OtherBCBS
MI1447399027Medicaid