Individual
MR. MICHAEL BRUCE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2712 MISSION ST, MISSION ACT, SAN FRANCISCO, CA 94110
(415) 401-2750
(415) 401-2774
Mailing address
2712 MISSION ST, MISSION ACT, SAN FRANCISCO, CA 94110
(415) 401-2750
(415) 401-2774
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
08/18/2025
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