Individual
DANIEL J WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
821 W MIDLAND RD, AUBURN, MI 48611-9200
(989) 450-5579
Mailing address
821 W MIDLAND RD, AUBURN, MI 48611-9200
(989) 450-5579
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704217949
MI
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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