Individual
KRISTOPHER JOEL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1203
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
21314035126
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704335001
MI
Other
Enumeration date
11/19/2021
Last updated
04/05/2022
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