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CAROLYN WIESE, PA
PA
Physician Assistant
NPI: 1235130576IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA001143(ME)
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
5601003704(MI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2001
Contact & Hours
- Address
- 2390 MITCHELL PARK DR STE D
PETOSKEY, MI 49770 - Phone
- (231) 487-7200
Quick Facts
- NPI
- 1235130576
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 25
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