Individual
MR. DUANE W WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2915 DRAKE DR, ANCHORAGE, AK 99508-4481
(907) 274-5256
Mailing address
2915 DRAKE DR, ANCHORAGE, AK 99508-4481
(907) 274-5256
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
29725
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EM0682
—
AK
Enumeration date
03/04/2007
Last updated
07/09/2007
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