Healthcare Provider Details

I. General information

NPI: 1669058004
Provider Name (Legal Business Name): KARL ROBERT MEIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 01/13/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BUILDING 3031 KEY STREET CAMP HUMPHREYS
APO AP
96297
US

IV. Provider business mailing address

9249 NEWTOWN RD
BREINIGSVILLE PA
18031-1809
US

V. Phone/Fax

Practice location:
  • Phone: 315-737-2558
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35488
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: