| NPI | 1699354316 |
|---|---|
| Other Name | KARLIE DEANNE WALDECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101028160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.016760) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-06-19 |