Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN MARIE WIESE, PA
ActiveCAROLYN MARIE WIESE, PA is a Physician Assistant healthcare provider located in PETOSKEY, Michigan. NPI 1235130576 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PETOSKEY, MI
Registration Details
- NPI Number
- 1235130576
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2005 (20.996116577563 yrs)
- Last Updated
- Jun 12, 2018
- Licenses
-
PA001143 (ME)5601003704 (MI)
Practice Information
- Address
-
2390 MITCHELL PARK DR STE DPETOSKEY, MI, 49770Browse MI providers · Browse ZIP 49770
- Phone
- 2314877200
- Fax
- 2314877188
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PETOSKEY, MI
| Name | Credential | NPI |
|---|---|---|
| DUANE R NOLFF | PA-C | 1881675031 |
| KAREN SCHERMERHORN NIGG | PA | 1851378715 |
| WILLIAM F CROOK | P.A. | 1801854534 |
| TINA M CROOK | PA-C | 1285659953 |
| SHARON SIERZPUTOWSKI | P.A.C. | 1417974197 |
| SALVATORE A MANNO | PA-C | 1659477602 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.