Individual
DR. MARY CLAIRE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4138 W HENRIETTA RD, ROCHESTER, NY 14623-5224
(585) 334-8020
(585) 334-8034
Mailing address
4238 W HENRIETTA RD, ROCHESTER, NY 14623
(585) 334-8020
(585) 334-8034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
146532
NY
Other
Enumeration date
08/10/2006
Last updated
03/15/2011
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