Ivanovic, Karolyn M

Ivanovic, Karolyn M is an individual health care provider with primary practice located at 12936 N Cobblestone Ct , Mequon WI 53097-1813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Ivanovic, Karolyn M can be contacted via phone (612) 573-2200.

Contact Information

Primary practice address
12936 N Cobblestone Ct Mequon WI 53097-1813
Phone: (612) 573-2200
Fax: (612) 573-2274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 52808 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47884 Minnesota

Profile Details

NPI number 1457337867
LBN Legal business name Ivanovic, Karolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Dec 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1457337867 NPPES
Wisconsin MEDICAID 1457337867

Popular Providers