Carissa Jane Wentland DO

NPI 1558682815 - Otolaryngology - 207YX0905X

NPI Details
NPI 1558682815
Gender Female
Enumeration Date 06/21/2010
Last Updated 12/08/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
243 CHARLES ST
BOSTON MA, 02114-3002, US
Phone (320) 493-4737
Fax
Business Location
243 CHARLES ST
BOSTON MA, 02114-3002, US
Phone (320) 493-4737
Fax
Toxanomy
Taxonomy Code 207YX0905X
License State Michigan
License Number 5101018847
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According to our database, Carissa Jane Wentland DO NPI is 1558682815, taxonomy code is 207YX0905X and license number is 5101018847, license state is located at Michigan. Carissa Jane Wentland DO physically located at 243 Charles St, Boston MA, 02114-3002. NPI Number Carissa Jane Wentland DO has the Individual type.

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1558682815 NPI number is provided on an as is basis without warranty of any kind. 1558682815 is maintained by the National Plan & Provider Enumeration System. The contents of Carissa Jane Wentland DO are for informational purposes only.