Individual
CARISSA ELAINE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4735 WEST RIVER DR NE, COMSTOCK PARK, MI 49321-9602
(616) 784-9400
(616) 784-5167
Mailing address
4735 WEST RIVER DR NE, COMSTOCK PARK, MI 49321-9602
(616) 784-9400
(616) 784-5167
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301107740
MI
Other
Enumeration date
07/09/2008
Last updated
07/07/2015
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