Individual
DR. TRESA LYNNE WIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
(724) 775-4960
Mailing address
1030 BEANER HOLLOW RD, BEAVER, PA 15009-9723
(724) 775-4242
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006397
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103117126
—
PA
Enumeration date
06/27/2012
Last updated
01/23/2018
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