Individual
ERIC LEE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4990 W CLARK RD, SUITE 300, YPSILANTI, MI 48197-1149
(734) 593-5990
(734) 593-5995
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48105-9484
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301096692
MI
207RR0500X
Rheumatology Physician
Primary
4301096692
MI
Other
Enumeration date
05/03/2010
Last updated
09/23/2016
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