DR. John Michael Wise, MD

NPI #1043205586 in Bozeman, Montana

Provider Information

NPI Number
1043205586
Entity Type
Individual
Name
DR. John Michael Wise, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
MD
Enumeration Date
Sep 12, 2005
Last Updated
Jun 17, 2008

Practice Location

Address
1006 W MAIN ST
State
Montana
ZIP Code
59715-3219
Phone
(406) 586-8711

Specialties & Taxonomy Codes

Specialty
Specialist

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