Individual provider · Type 1 NPI
Kristopher Joel Wise, FNP-C
Primary Care Nurse Practitioner · Saginaw, MI
NPI number
1679230148
Active
Practice location
1522 Janes Ave
Saginaw, MI 48601-1819
Fax (989) 755-0956
Mailing address
501 Lapeer Ave
Saginaw, MI 48607-1203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 21314035126 (MI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 4704335001 (MI) |
Primary Care Nurse Practitioner: Definition to come...
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- Mary Ann Dymek, NPPrimary Care Nurse Practitioner Saginaw, MI NPI 1902838717
About NPI 1679230148
Kristopher Joel Wise, FNP-C's National Provider Identifier is 1679230148, issued on Nov 19, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Saginaw, MI. The record was last updated on Apr 5, 2022.