| Carolyn Marie Wiese, PA | |
|
2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 | |
| (231) 487-7200 | |
| (231) 487-7188 |
| Full Name | Carolyn Marie Wiese |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2390 Mitchell Park Dr Ste D, Petoskey, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235130576 | NPI | - | NPPES |
| 1235130576 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA001143 (Maine) | Secondary |
| 363A00000X | Physician Assistant | 5601003704 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Marie Wiese, PA 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770-8965 Ph: (231) 487-7200 | Carolyn Marie Wiese, PA 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 Ph: (231) 487-7200 |
Ms. Sarah Dawn Elkins, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2390 Mitchell Park Dr Ste D, Petoskey, MI 49770 Phone: 231-242-1760 Fax: 978-367-5563 | |
Mr. Kenneth Adams Crockett Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1890 S Us Highway 131, Suite 4, Petoskey, MI 49770 Phone: 231-487-2000 | |
Sarah Wadowski, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1890 Us Highway 131, Petoskey, MI 49770 Phone: 231-487-6000 Fax: 231-487-6014 | |
Danielle Nicole Cook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 505, Petoskey, MI 49770 Phone: 231-487-2100 Fax: 231-487-1909 | |
Mr. James P Prokos, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 W Jefferson St, Petoskey, MI 49770 Phone: 231-348-5622 Fax: 231-348-5625 | |
Kathy Tuinhoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 W Mitchell St Ste 400, Petoskey, MI 49770 Phone: 231-487-2490 | |
Carianne Jeffers-wcisel, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1250 Lears Rd, Petoskey, MI 49770 Phone: 231-242-1700 Fax: 231-242-1717 |