Individual
DR. SEAN ROBERT WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8123
(603) 640-1228
Mailing address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-8123
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19765
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3118181
—
NH
05
—
6701289
—
VT
Enumeration date
02/09/2006
Last updated
01/12/2026
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