Individual
CHRISTOPHER L WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2790 CLAY EDWARDS DR STE 600, KANSAS CITY, MO 64116-3274
(816) 561-3003
(816) 889-1584
Mailing address
19550 E 39TH ST, STE 410, INDEPENDENCE, MO 64057
(816) 303-2400
(816) 303-2484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008008638
MO
207XX0801X
Orthopaedic Trauma Physician
Primary
2008008638
MO
Other
Enumeration date
04/26/2007
Last updated
04/02/2018
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