Jill Wise

NPI #1982987004 in Redford, Michigan

Provider Information

NPI Number: 1982987004
Entity Type: Individual
Name: Jill Wise
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Sep 25, 2011
Last Updated: Sep 25, 2011

Practice Location

Address: 25905 5 MILE RD
City: Redford
State: Michigan
ZIP Code: 48239-3226
Phone: (313) 535-8480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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