DR. Stuart R Wise, M.D.

NPI #1154582443 in Provo, Utah

Provider Information

NPI Number
1154582443
Entity Type
Individual
Name
DR. Stuart R Wise, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Obstetrics & Gynecology - Reproductive Endocrinology
Credential
M.D.
Enumeration Date
Jun 19, 2008
Last Updated
Jun 19, 2008

Practice Location

Address
1579 WILLOW LN
City
Provo
State
Utah
ZIP Code
84604-2804
Phone
(801) 722-4678

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - Reproductive EndocrinologyReproductive Endocrinology

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