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Organization
WISE MEDICAL, INC.
Active
Organization
WISE MEDICAL, INC.
Active
Other names
Alphaeus Wise, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHAEUS MANSFIELD WISE MD (PRESIDENT)
(925) 935-3113
Entity
Organization
Contact information
Practice address
1150 CIVIC DR, SUITE 100, WALNUT CREEK, CA 94596-8241
(925) 935-3113
(925) 935-4482
Mailing address
1150 CIVIC DR, SUITE 100, WALNUT CREEK, CA 94596-8241
(925) 935-3113
(925) 935-4482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A95309
CA
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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