Individual
DR. ERIC STEPHEN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
63749
MN
Other
Enumeration date
06/15/2011
Last updated
03/27/2023
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