Wentland, Carissa Jane

Wentland, Carissa Jane is an individual health care provider with primary practice located at 3901 Beaubien St # 3515 , Detroit MI 48201-2119. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is her primary health care specialty. Wentland, Carissa Jane can be contacted via phone (313) 745-9049.

Contact Information

Primary practice address
3901 Beaubien St # 3515 Detroit MI 48201-2119
Phone: (313) 745-9049
Fax: (313) 993-3879
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2019020869 Missouri
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 5101018847 Michigan
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 5101025549 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01220 Ohio
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 262814 Massachusetts

Profile Details

NPI number 1558682815
LBN Legal business name Wentland, Carissa Jane
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2010
Last updated Jan 26th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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