Provider Demographics
NPI:1790352417
Name:MAZUREK, KATHERINE ROSE (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ROSE
Last Name:MAZUREK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 EMBARCADERO CTR STE 1900
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-3723
Mailing Address - Country:US
Mailing Address - Phone:888-663-6331
Mailing Address - Fax:
Practice Address - Street 1:5771 N HAMILTON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-9300
Practice Address - Country:US
Practice Address - Phone:888-663-6331
Practice Address - Fax:380-223-2984
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.153420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine