Provider Demographics
NPI:1548424740
Name:STENZ, CARI A (PA)
Entity Type:Individual
Prefix:MRS
First Name:CARI
Middle Name:A
Last Name:STENZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:CARI
Other - Middle Name:A
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:109 W FLETCHER ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-2301
Mailing Address - Country:US
Mailing Address - Phone:989-354-0845
Mailing Address - Fax:989-354-2965
Practice Address - Street 1:393 LONG RAPIDS RD
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1317
Practice Address - Country:US
Practice Address - Phone:989-354-0845
Practice Address - Fax:989-354-2965
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0850422940OtherBCBS OF MICHIGAN
MI1548424740OtherNPI
MI160Z460470OtherBCBS OF MICHIGAN GROUP #
MI5601005318OtherLICENSE
MI0850422940OtherBCBS OF MICHIGAN