Individual
DR. STEVEN M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
43723
AZ
2085R0202X
Diagnostic Radiology Physician
5126120
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621178
—
AZ
Enumeration date
08/08/2007
Last updated
01/17/2023
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