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Individual

ALPHAEUS MANSFIELD WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 CIVIC DR, SUITE100, WALNUT CREEK, CA 94596-8241
(925) 935-3113
Mailing address
1150 CIVIC DR, SUITE100, WALNUT CREEK, CA 94596-8241

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A95309
CA

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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