Provider Demographics
NPI:1194107755
Name:MAY, CARISSA J (MD)
Entity type:Individual
Prefix:
First Name:CARISSA
Middle Name:J
Last Name:MAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1 FORD PL STE 3A
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3450
Mailing Address - Country:US
Mailing Address - Phone:800-999-5829
Mailing Address - Fax:313-846-1305
Practice Address - Street 1:3305 SPRING ARBOR RD STE 200
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3995
Practice Address - Country:US
Practice Address - Phone:517-205-1285
Practice Address - Fax:517-205-0115
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2025-10-27
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Provider Licenses
StateLicense IDTaxonomies
MI4301107802207V00000X
LA324011207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology