Provider Demographics
NPI:1861817553
Name:KARNOWSKI, PATRICIA MARIE
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARIE
Last Name:KARNOWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 E WASHTENAW AVENUE
Mailing Address - Street 2:UPPER LEVEL
Mailing Address - City:YPISLANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1889
Mailing Address - Country:US
Mailing Address - Phone:910-420-2194
Mailing Address - Fax:
Practice Address - Street 1:789 WEBBER CT
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:MI
Practice Address - Zip Code:48451-8761
Practice Address - Country:US
Practice Address - Phone:910-420-2194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000134171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist