Provider Demographics
NPI:1336184530
Name:VIGER, KAREN M (CDE)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:VIGER
Suffix:
Gender:F
Credentials:CDE
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:SCHATZLEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-642-2000
Mailing Address - Fax:701-671-4153
Practice Address - Street 1:275 11TH ST S
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-4655
Practice Address - Country:US
Practice Address - Phone:701-642-2000
Practice Address - Fax:701-671-4153
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR28118133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND22472OtherNDBS #
ND019H3VIOtherMNBS #
ND22472OtherNDBS #