Individual ProviderKaren Louise DallasStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address638 N. 18th Street, Bloodcenter Of Wisconsin, Milwaukee, WI 53233(414) 933-5000(416) 606-3037PECOS EnrollmentBased on the most recent information from CMS, provider Karen Louise Dallas does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053636035Provider TypeIndividualFull NameDallas, Karen LouiseTitleDr.CredentialM.D.C.M.GenderFemaleSole ProprietorYesEnumeration Date4/1/2010Last Updated4/1/2010Contact InformationPractice LocationPractice Address638 N. 18th Street, Bloodcenter Of Wisconsin, Milwaukee, WI 53233Phone(414) 933-5000FaxUnlisted FaxMailing LocationMailing Address1235 Bathurst Street, Toronto, ON M5R 3H3 (Canada)Phone(416) 606-3037FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer