Medwise LLC

NPI #1376343442 in Tahlequah, Oklahoma

Provider Information

NPI Number
1376343442
Entity Type
Organization
Organization Name
Medwise LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MEDWISE LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 17, 2025
Last Updated
Mar 17, 2025

Practice Location

Address
1930 S MUSKOGEE AVE
ZIP Code
74464-5437
Phone
(918) 998-9970

Authorized Official

Name
DENNIS SIDNEY BLACKSTAD, MD
Title
PRESIDENT
Phone
(918) 605-6582

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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