Healthcare Provider Details

I. General information

NPI: 1336184530
Provider Name (Legal Business Name): KAREN M VIGER CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN M SCHATZLEIN

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 05/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 11TH ST S
WAHPETON ND
58075-4655
US

IV. Provider business mailing address

PO BOX 6001
FARGO ND
58108-6001
US

V. Phone/Fax

Practice location:
  • Phone: 701-642-2000
  • Fax: 701-671-4153
Mailing address:
  • Phone: 701-642-2000
  • Fax: 701-671-4153

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberR28118
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: