Provider Demographics
NPI:1932428695
Name:DE OLIVEIRA DIAS, KARINE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINE
Middle Name:
Last Name:DE OLIVEIRA DIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7974 UW HEALTH CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-5531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-5010
Practice Address - Country:US
Practice Address - Phone:608-263-8100
Practice Address - Fax:701-857-3264
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND13219207L00000X
WI74795-20207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology