Provider Demographics
NPI:1609928985
Name:ISOPI, KAREN P (PA-C)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:ISOPI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28730 HARPER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1250
Mailing Address - Country:US
Mailing Address - Phone:586-772-7180
Mailing Address - Fax:586-279-0033
Practice Address - Street 1:28730 HARPER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1250
Practice Address - Country:US
Practice Address - Phone:586-772-7180
Practice Address - Fax:586-279-0033
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI004248363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical