DR. Nicolette Christine Wise, DO

NPI #1104084888 in Jefferson City, Missouri

Provider Information

NPI Number: 1104084888
Entity Type: Individual
Name: DR. Nicolette Christine Wise, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: DO
Enumeration Date: May 29, 2008
Last Updated: Mar 12, 2014

Practice Location

Address: 1125 MADISON ST
City: Jefferson City
State: Missouri
ZIP Code: 65101-5227
Phone: (316) 268-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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