Individual provider · Type 1 NPI
Corinne Marie Wisdo, DPM
Foot Surgery Podiatrist · Myrtle Beach, SC
NPI number
1053511253
Active
Practice location
907 Medical Cir
Myrtle Beach, SC 29572-4116
Fax (843) 357-3772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | SC006008 (PA) |
| Foot Surgery Podiatrist Primary | 213ES0131X | 592 (SC) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1053511253
Corinne Marie Wisdo, DPM's National Provider Identifier is 1053511253, issued on Jul 25, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 29, 2015.