Individual
MARSHALL T WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 BEVINS LN STE E, GEORGETOWN, KY 40324-8532
(800) 999-1249
(855) 656-7325
Mailing address
9800 SHELBYVILLE RD STE 220, LOUISVILLE, KY 40223-5440
(800) 999-1249
(855) 656-7325
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
35.099667
OH
207K00000X
Allergy & Immunology Physician
Primary
41014
KY
Other
Enumeration date
01/04/2007
Last updated
07/11/2025
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