Provider Demographics
NPI:1669436531
Name:KARLE, CHRISTINE LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LYNN
Last Name:KARLE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:455 BARCLAY CIRCLE
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4774
Mailing Address - Country:US
Mailing Address - Phone:248-852-9596
Mailing Address - Fax:248-852-9453
Practice Address - Street 1:455 BARCLAY CIRCLE
Practice Address - Street 2:SUITE D
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4774
Practice Address - Country:US
Practice Address - Phone:248-852-9596
Practice Address - Fax:248-852-9453
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2010-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101008608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00238057OtherRAILROAD MEDICARE
MI080F326810OtherBLUE CROSS BLUE SHIELD MI
MIE25612Medicare UPIN
MI080F326810OtherBLUE CROSS BLUE SHIELD MI