John Michael Wise MD

NPI 1043205586 - Specialist - 174400000X

NPI Details
NPI 1043205586
Gender Male
Enumeration Date 09/12/2005
Last Updated 06/17/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1006 W MAIN ST
BOZEMAN MT, 59715-3219, US
Phone (406) 586-8711
Fax (406) 587-2602
Business Location
1006 W MAIN ST
BOZEMAN MT, 59715-3219, US
Phone (406) 586-8711
Fax (406) 587-2602
Toxanomy
Taxonomy Code 174400000X
License State Montana
License Number 4048
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According to our database, Dr. John Michael Wise MD NPI is 1043205586, taxonomy code is 174400000X and license number is 4048, license state is located at Montana. John Michael Wise MD physically located at 1006 W Main St, Bozeman MT, 59715-3219. NPI Number John Michael Wise MD has the Individual type.

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1043205586 NPI number is provided on an as is basis without warranty of any kind. 1043205586 is maintained by the National Plan & Provider Enumeration System. The contents of John Michael Wise MD are for informational purposes only.