Christine M Wise

NPI #1487795456 in Shawnee, Kansas

Provider Information

NPI Number: 1487795456
Entity Type: Individual
Name: Christine M Wise
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 10, 2007
Last Updated: Mar 3, 2015

Practice Location

Address: 10411 W 52ND CIR
City: Shawnee
State: Kansas
ZIP Code: 66203-1811
Phone: (913) 636-4409

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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