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Individual

DR. SEAN ROBERT WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9300 DEWITT LOOP, SPORTS MEDICINE CLINIC, FORT BELVOIR, VA 22060-5285
(571) 231-2195
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(910) 907-9619

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2018-02819
NC

Other

Enumeration date
11/27/2007
Last updated
04/27/2022
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