Carolyn Wiese, PA

NPI 1235130576 · on the registry since 2005

Practice

Address: 3890 Charlevoix Rd Ste 307
Petoskey, MI 49770
Phone: (231) 674-3834
Organisation at this address: Janus Rx Llc
Arec Obs Llc
Harbors North Llc
Petoskey Eye Care Pc
Tranquil Soul Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363AM0700X
Licence states on file: ME, MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan