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Carissa Jane Wentland, DO
Otolaryngology Physician in Detroit, Michigan
NPI 1558682815

Carissa Jane Wentland is a Otolaryngology Physician based in Detroit, MI. Carissa Jane Wentland practices in Detroit, MI and has the professional credentials of DO. The NPI Number for Carissa Jane Wentland is 1558682815 and holds a License No. 2019020869 (Michigan).

The current practice location address for Carissa Jane Wentland is 3901 Beaubien St # 3515, Detroit, MI and can be reached out via phone at 313-745-9049 and via fax at 313-993-3879. You can also correspond with Carissa Jane Wentland through the mailing address at 3901 BEAUBIEN ST # 3515, DETROIT, MI - 48201-2119 (mailing address contact number: 313-745-9049).

Location: 3901 Beaubien St # 3515, Detroit, MI, 48201-2119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558682815
Provider Name
Carissa Jane Wentland
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3901 Beaubien St # 3515, Detroit, MI, 48201-2119
Phone Number
313-745-9049
Fax Number
313-993-3879
Provider Enumeration Date
06/21/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3901 Beaubien St # 3515
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
313-745-9049
Fax Number
313-993-3879
person
Provider Business Mailing Address Details
Address
3901 Beaubien St # 3515
City
Detroit
State
Michigan
Zip
48201-2119
Phone Number
313-745-9049
Fax Number
313-993-3879
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
5101025549 (Michigan)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Pediatric Otolaryngology
Taxonomy
207YP0228X
License No.
5101018847 (Michigan)
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
2019020869 (Missouri)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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