Individual
DR. JUSTIN WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ND
Contact information
Practice address
1551 PACIFIC AVE, SANTA ROSA, CA 95404-3568
(707) 586-5555
Mailing address
95 MONTGOMERY DR STE 104, SANTA ROSA, CA 95404-6617
(480) 310-1565
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
02/15/2023
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