Individual
CHRISTOPHER WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5500 BURTON ST SE, GRAND RAPIDS, MI 49546-6711
(616) 840-7529
(616) 840-9693
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501017858
MI
2251X0800X
Orthopedic Physical Therapist
Primary
5501017858
MI
Other
Enumeration date
04/11/2018
Last updated
09/13/2024
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