Individual
MICHAEL WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 W ELLIOTT ST, SAINT IGNACE, MI 49781-1868
(906) 643-8616
(906) 643-7194
Mailing address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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