# DR. MERRILL S WISE III

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922089192
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 41144 | TN | Yes |
| 2080S0012X | Pediatric Sleep Medicine Physician | 41144 | TN | — |

## Other

- **Enumeration date:** 11/07/2005
- **Last updated:** 02/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 117214001 | — | TX |