Individual
DR. BRENT L WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
533 W UWCHLAN AVE, SUITE 101, DOWNINGTOWN, PA 19335-1763
(484) 593-0328
(484) 593-0440
Mailing address
2723 FYNAMORE LN, DOWNINGTOWN, PA 19335-6028
(484) 593-0328
(484) 593-0440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10298
CA
111N00000X
Chiropractor
Primary
DC010614
PA
Other
Enumeration date
07/05/2011
Last updated
06/28/2012
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