Organization
RONALD E WISE MD PC
Active
Organization
RONALD E WISE MD PC
Active
Other names
The Wise Vision Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD E WISE M.D. (OWNER)
(303) 299-9473
Entity
Organization
Contact information
Practice address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
(785) 890-6373
Mailing address
1435 WAZEE ST, # 101, DENVER, CO 80202-1491
(303) 299-9473
(303) 299-9472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04-32515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111339
KS BLUE SHIELD
KS
Enumeration date
05/16/2007
Last updated
09/20/2011
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