Provider Demographics
NPI:1508270224
Name:WANERSDORFER, KAREN MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARIE
Last Name:WANERSDORFER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW
Mailing Address - Street 2:6TH FLOOR, DEPT OF SURGERY
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3133
Mailing Address - Country:US
Mailing Address - Phone:202-677-6219
Mailing Address - Fax:727-585-7205
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:6TH FLOOR, DEPT OF SURGERY
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3133
Practice Address - Country:US
Practice Address - Phone:202-677-6219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-20
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLUO3530207Q00000X
VA0102206202208600000X
DCDO034875208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine