Sean Robert Wise M.D.

NPI 1083896534 - Family Medicine - 207Q00000X

NPI Details
NPI 1083896534
Gender Male
Enumeration Date 11/27/2007
Last Updated 07/22/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
2817 REILLY ST
FAMILY MEDICINE RESIDENCY CLINIC
FORT BRAGG NC, 28310-7324, US
Phone (910) 907-9619
Fax
Business Location
2817 REILLY ST
FAMILY MEDICINE RESIDENCY CLINIC
FORT BRAGG NC, 28310-7324, US
Phone (910) 907-9619
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01064518A
Remove 1083896534 NPI Number
 

According to our database, Dr. Sean Robert Wise M.D. NPI is 1083896534, taxonomy code is 207Q00000X and license number is 01064518A, license state is located at Indiana. Sean Robert Wise M.D. physically located at 2817 Reilly St, Fort Bragg NC, 28310-7324. NPI Number Sean Robert Wise M.D. has the Individual type.

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1083896534 NPI number is provided on an as is basis without warranty of any kind. 1083896534 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Robert Wise M.D. are for informational purposes only.