Carolyn Marie Wiese, PA
Carolyn Marie Wiese, PA is a Physician Assistant in Petoskey, Michigan. Qualified in 2001, 25 years ago. Practices with Petoskey Family Medicine, PC, a 5-clinician group and accepts Medicare assignment. Licensed in Maine and Michigan.
- Years since qualifying
- 25
- Licensed in
- ME, MI
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
2390 Mitchell Park Dr Ste DPetoskey, MI 49770
Phone: (231) 487-7200
Fax: (231) 487-7188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601003704 (MI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA001143 (ME) |
Record details
| NPI number | 1235130576 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 9, 2005 |
| Last updated in NPPES | June 12, 2018 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Petoskey Family Medicine, P.C. — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Petoskey
-
Mrs. Lindsay Ann Knitter, PA-C
560 W Mitchell St Ste 505, Petoskey, MI 49770-2275 · (231) 487-2100
-
Jessica Panoff, PA-C
116 W Mitchell St, Petoskey, MI 49770-2357 · (231) 348-2828
-
Rebecca L. Price, PA-C
114 Rush St, Petoskey, MI 49770-2920 · (231) 347-5511
-
Caitlyn Schaller, PA-C
560 W Mitchell St Ste 505, Petoskey, MI 49770-2277 · (231) 487-2100