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Individual

DR. SHANNON J WISE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8481 FISHERS CENTER DR, FISHERS, IN 46038-2318
(317) 570-1944
(317) 576-9621
Mailing address
8481 FISHERS CENTER DR, FISHERS, IN 46038-2318
(317) 570-1944
(317) 576-9621

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001968A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200364220
IN
Enumeration date
08/09/2006
Last updated
01/03/2014
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