Provider Demographics
NPI:1447341060
Name:PFANDER, KAREN E (PA-C)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:PFANDER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 MEADOW BROOK RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48309-4452
Mailing Address - Country:US
Mailing Address - Phone:248-370-2341
Mailing Address - Fax:248-370-2691
Practice Address - Street 1:408 MEADOW BROOK RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48309-4452
Practice Address - Country:US
Practice Address - Phone:248-370-2341
Practice Address - Fax:248-370-2691
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5601002709363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5601002709OtherSTATE LICENSE NUMBER
MI5601002709OtherSTATE LICENSE NUMBER