Provider Demographics
NPI:1457747974
Name:MARIENAU, KAREN JOY (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:JOY
Last Name:MARIENAU
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 NORTH ROBERT ST, SUITE 362
Mailing Address - Street 2:WARNER E. BURGER FEDERAL BUILDING AND U.S. COUTRHOUSE
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55101
Mailing Address - Country:US
Mailing Address - Phone:651-290-3051
Mailing Address - Fax:651-290-3560
Practice Address - Street 1:2095 JAMES AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1317
Practice Address - Country:US
Practice Address - Phone:651-699-6374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN588082083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine