Provider Demographics
NPI:1861808412
Name:KARST, JEFFREY (PHD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:KARST
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8701 WATERTOWN PLANK RD., MFRC 3018
Mailing Address - Street 2:MEDICAL COLLEGE OF WISCONSIN PEDIATRIC HEM/ONC/BMT
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-955-4170
Mailing Address - Fax:
Practice Address - Street 1:8701 WATERTOWN PLANK RD., MFRC 3018
Practice Address - Street 2:MEDICAL COLLEGE OF WISCONSIN PEDIATRIC HEM/ONC/BMT
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-955-4170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent