Carissa Wentland, DO

Individual Active
NPI 1558682815
Pediatric Otolaryngology Physician Detroit, MI

Carissa Wentland, DO holds NPI 1558682815, with a primary taxonomy of pediatric otolaryngology physician and a practice location in Detroit, MI. The number was issued on June 21, 2010 and the NPPES record was last updated on January 26, 2024. The record lists 5 taxonomy codes. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician Primary 207YP0228X 5101025549 (MI)
Otolaryngology Physician 207Y00000X 2019020869 (MO)
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 5101018847 (MI)
Otolaryngology Physician 207Y00000X 01220 (OH)
Otolaryngology Physician 207Y00000X 262814 (MA)

Practice locations

3901 Beaubien St # 3515
Detroit, MI 48201-2119
Phone: (313) 745-9049
525 N Keene St Ste 201
Columbia, MO 65201-6967
Phone: (573) 882-7903

Local context

Active NPPES records list 12 providers with pediatric otolaryngology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 7 of them within 10 miles.

The same primary taxonomy is listed by 23 in Michigan and 851 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Carissa Jane Wentland
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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