Individual
MR. WILLIAM WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 NORTH ST, OTISVILLE, MI 48463-9705
(810) 374-6410
Mailing address
410 NORTH ST, OTISVILLE, MI 48463-9705
(810) 374-6410
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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