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Individual
DR. MERRILL S WISE III
Active
Individual
DR. MERRILL S WISE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
41144
TN
2080S0012X
Pediatric Sleep Medicine Physician
41144
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117214001
—
TX
Enumeration date
11/07/2005
Last updated
02/17/2020
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