Individual
CHRISTOPHER H WISE
Active
Individual
CHRISTOPHER H WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020742
HIGHMARK BLUE SHIELD
PA
01
—
0716259000
PERSONAL CHOICE
PA
01
—
1417034802
INTERGROUP
PA
01
—
422764
HEALTH AMER/HEALTH ASSUR.
PA
01
—
50083550
CAPITAL BLUE CROSS
PA
01
—
WI20742
HIGHMARK
PA
Enumeration date
11/01/2006
Last updated
04/30/2012
Update your record
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