Provider Demographics
NPI:1467882704
Name:VANDER WERF, KARIE (DVM)
Entity Type:Individual
Prefix:DR
First Name:KARIE
Middle Name:
Last Name:VANDER WERF
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:704 LURIA LN
Mailing Address - Street 2:
Mailing Address - City:CHAMPAIGN
Mailing Address - State:IL
Mailing Address - Zip Code:61822-1107
Mailing Address - Country:US
Mailing Address - Phone:561-271-5489
Mailing Address - Fax:
Practice Address - Street 1:704 LURIA LN
Practice Address - Street 2:
Practice Address - City:CHAMPAIGN
Practice Address - State:IL
Practice Address - Zip Code:61822-1107
Practice Address - Country:US
Practice Address - Phone:561-271-5489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7526174M00000X
FL9963174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian