Individual
CHLOE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1108 VESTER AVE, SPRINGFIELD, OH 45503-1302
(937) 399-7100
(937) 399-7355
Mailing address
1211 1/2 HARRISON AVE, COLUMBUS, OH 43201-3113
(330) 842-3283
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008551RX
OH
Other
Enumeration date
01/17/2024
Last updated
04/22/2024
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