Doctor Name: | MS. KAREN UECKER-BEZDICEK |
NPI Number: | 1588661995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F-CNP |
License Number: | R119930-5 |
Business Practice Address: | 308 8th St N Mountain Lake, MN - 561591568 |
Business Phone Number: | 5074273332 |
Business Fax Number: | 5074272493 |
Mailing Address: | 308 8th St N, MOUNTAIN LAKE |
State: | MN |
Postal Code: | 561591568 |
Phone Number: | 5074273332 |
Fax Number: | 5074272493 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 05/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R119930-5 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |