Mike William Wise

NPI #1740427582 in Sapulpa, Oklahoma

Provider Information

NPI Number
1740427582
Entity Type
Individual
Name
Mike William Wise
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Jan 15, 2009
Last Updated
Jan 15, 2009

Practice Location

Address
101 E ROSS AVE
ZIP Code
74066-6425
Phone
(918) 227-2016

Specialties & Taxonomy Codes

Specialty
Specialist

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