John David Wise, PA

NPI #1093739724 in Green Bay, Wisconsin

Provider Information

NPI Number: 1093739724
Entity Type: Individual
Name: John David Wise, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 26, 2006
Last Updated: Apr 25, 2024

Practice Location

Address: 2793 LINEVILLE RD
City: Green Bay
State: Wisconsin
ZIP Code: 54313-7152
Phone: (920) 496-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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