Individual
ALEXANDER WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1065
(610) 954-5810
(610) 954-5480
Mailing address
24 S 18TH ST, ALLENTOWN, PA 18104-5622
(610) 628-8372
(610) 628-8648
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN605070
PA
Other
Enumeration date
09/30/2016
Last updated
06/26/2020
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