Individual
ERIC WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
Mailing address
403 DOW ROAD, ORRINGTON, ME 04474
(610) 334-2595
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD21551
ME
208VP0014X
Interventional Pain Medicine Physician
Primary
MD21551
ME
Other
Enumeration date
06/21/2012
Last updated
01/18/2023
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