MEDICARE: DR. MARK T KARNES DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	MK008760	MI

General Provider Information

NPI Number	:	1013912237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK T KARNES DO

Provider Business Mailing Address
First Line	:	1775 WELLS AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49442-2459
Country	:	US
Telephone Number	:	231-773-9048
Fax Number	:	231-777-1218

Provider Business Practice Location Address
First Line	:	1775 WELLS AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49442-2459
Country	:	US
Telephone Number	:	231-773-9048
Fax Number	:	231-777-1218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/08/2007

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