Individual
MR. ALAN FLINT WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 W BLOOMFIELD RD, BLOOMINGTON, IN 47403-2010
(812) 336-6060
Mailing address
PO BOX 1148, BLOOMINGTON, IN 47402-1148
(812) 336-6060
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01033338A
IN
Other
Enumeration date
07/11/2006
Last updated
01/18/2011
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