Individual
BRANDON M WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 SCOTT AVE STE 301, MORGANTOWN, WV 26508-8857
(304) 241-4000
(304) 212-5141
Mailing address
20 SCOTT AVE STE 301, MORGANTOWN, WV 26508-8857
(304) 241-4000
(304) 212-5141
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-974
WV
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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