Individual
ELIZABETH ANNE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MEYER 1 104, 600 N. WOLFE STREET, BALTIMORE, MD 21287
(410) 955-6114
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
(410) 933-1390
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
8339
MD
2084P0800X
Psychiatry Physician
Primary
D77466
MD
Other
Enumeration date
04/20/2012
Last updated
05/24/2018
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