Provider Demographics
NPI:1134227317
Name:WILLENBRING, KAREN MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MARIE
Last Name:WILLENBRING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:28944 FRENCHVILLE KARTHAUS HWY
Mailing Address - Street 2:P O BOX 220
Mailing Address - City:FRENCHVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16836-8834
Mailing Address - Country:US
Mailing Address - Phone:814-263-4865
Mailing Address - Fax:814-339-6165
Practice Address - Street 1:5401 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2601
Practice Address - Country:US
Practice Address - Phone:814-868-2179
Practice Address - Fax:814-868-2346
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD071012L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018682930002Medicaid
PA0018682930002Medicaid
PA052878PLGMedicare PIN