Organization · Type 2 NPI
Richard G Wise Do Inc
Primary Care Clinic/Center · New Middletown, OH
NPI number
1164601746
Active
Practice location
11 Sycamore Drive
New Middletown, OH 44442
Fax (330) 542-0074
Mailing address
PO Box 272
New Middletown, OH 44442-0272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 34003728 (OH) |
Primary Care Clinic/Center: Definition to come...
About NPI 1164601746
Richard G Wise Do Inc's National Provider Identifier is 1164601746, issued on Oct 30, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in New Middletown, OH. The record was last updated on Nov 8, 2007.