Individual
DR. ELIZABETH A WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2315 MYRTLE ST STE 220, ERIE, PA 16502-4612
(814) 454-8185
(814) 454-3894
Mailing address
6220 LAKESHORE, ERIE, PA 16505
(814) 835-2133
(814) 452-4174
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
OS012107
PA
208M00000X
Hospitalist Physician
Primary
OS17332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01900579
—
PA
05
—
126262100
—
FL
Enumeration date
09/26/2006
Last updated
09/16/2025
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