Provider Demographics
NPI:1558855817
Name:EPLER, KATHARINE (MD)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:EPLER
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 1:3116 TAUBMAN CENTER, SPC 5368
Mailing Address - Street 2:1500 E. MEDICAL CENTER DR
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5368
Mailing Address - Country:US
Mailing Address - Phone:734-844-5400
Mailing Address - Fax:734-844-5298
Practice Address - Street 1:3116 TAUBMAN CENTER, SPC 5368
Practice Address - Street 2:1500 E. MEDICAL CENTER DR
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5368
Practice Address - Country:US
Practice Address - Phone:734-844-5400
Practice Address - Fax:734-844-5298
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301114946390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program