Richard G Wise Do INC

NPI #1164601746 in New Middletown, Ohio

Provider Information

NPI Number
1164601746
Entity Type
Organization
Organization Name
Richard G Wise Do INC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 30, 2007
Last Updated
Nov 8, 2007

Practice Location

Address
11 SYCAMORE DRIVE
State
Ohio
ZIP Code
44442
Phone
(330) 542-2881

Authorized Official

Name
RICHARD G WISE, D.O.
Title
PRESIDENT
Phone
(330) 542-2881

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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