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Carolyn Marie Wiese, PA
Physician Assistant in Petoskey, Michigan
NPI 1235130576

Carolyn Marie Wiese is a Physician Assistant based in Petoskey, MI. Carolyn Marie Wiese practices in Petoskey, MI and has the professional credentials of PA. The NPI Number for Carolyn Marie Wiese is 1235130576 and holds a License No. PA001143 (Michigan).

The current practice location address for Carolyn Marie Wiese is 2390 Mitchell Park Dr Ste D, Petoskey, MI and can be reached out via phone at 231-487-7200 and via fax at 231-487-7188.

Location: 2390 Mitchell Park Dr Ste D, Petoskey, MI, 49770-8965
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235130576
Provider Name
Carolyn Marie Wiese
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2390 Mitchell Park Dr Ste D, Petoskey, MI, 49770-8965
Phone Number
231-487-7200
Fax Number
231-487-7188
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1235130576 05 MI
institution
Provider Business Practice Location Address Details
Address
2390 Mitchell Park Dr Ste D
City
Petoskey
State
Michigan
Zip
49770
Phone Number
231-487-7200
Fax Number
231-487-7188
person
Provider Business Mailing Address Details
Address
2390 Mitchell Park Dr Ste D
City
Petoskey
State
Michigan
Zip
49770
Phone Number
231-487-7200
Fax Number
231-487-7188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
5601003704 (Michigan)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA001143 (Maine)
Definition
Definition to come...
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