Individual provider · Type 1 NPI

Phillip Gregory Wise, MD

Urology Physician · Grand Rapids, MI

NPI number 1124124086 Active

Practice location

25 Michigan St NE, Suite 3300
Grand Rapids, MI 49503-2515

Call (616) 459-4171 Map

Fax (616) 459-0044

Mailing address

20952 E 12 Mile Rd Ste 200
St. Clair Shores, MI 48081-3203

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X4301078939 (MI)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1124124086

Phillip Gregory Wise, MD's National Provider Identifier is 1124124086, issued on Sep 16, 2006. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 30, 2024.