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Individual

DR. MERRILL S WISE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662
(901) 274-2033
Mailing address
5050 POPLAR AVE, SUITE 800, MEMPHIS, TN 38157-0101
(901) 276-2662

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
41144
TN
2080S0012X
Pediatric Sleep Medicine Physician
41144
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117214001
TX
Enumeration date
11/07/2005
Last updated
02/17/2020
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