MEDICARE: JAIME CORINNE KARL

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	367A00000X	Advanced Practice Midwife	17787-33	WI

General Provider Information

NPI Number	:	1720875271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME CORINNE KARL

Provider Business Mailing Address
First Line	:	1315 ARLINGTON ST
Second Line	:
City	:	MARSHFIELD
State	:	WI
Zip	:	54449-3403
Country	:	US
Telephone Number	:	715-897-3502
Fax Number	:

Provider Business Practice Location Address
First Line	:	1315 ARLINGTON ST
Second Line	:
City	:	MARSHFIELD
State	:	WI
Zip	:	54449-3403
Country	:	US
Telephone Number	:	715-897-3502
Fax Number	:

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

Provider Enumeration Date	:	04/21/2025
Last Update Date	:	12/10/2025

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