Provider Demographics
NPI:1942421714
Name:MASCHKA, KAREN K (ROPA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:MASCHKA
Suffix:
Gender:F
Credentials:ROPA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86 SDS 12 2901
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-2901
Mailing Address - Country:US
Mailing Address - Phone:651-968-5050
Mailing Address - Fax:651-968-5900
Practice Address - Street 1:17 EXCHANGE ST W STE 307
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1223
Practice Address - Country:US
Practice Address - Phone:651-842-5200
Practice Address - Fax:651-223-5903
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2009-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN8957363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical