Individual provider · Type 1 NPI
Daniel Thomas Wise, DC
Chiropractor · Phoenix, MD
NPI number
1700903390
Active
Practice location
14307 Jarrettsville Pike
Phoenix, MD 21131-1763
Fax (410) 666-0348
Mailing address
PO Box 38, 14307 Jarrettsville Pike
Phoenix, MD 21131-0038
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | C004959 (MD) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Another provider at this address
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About NPI 1700903390
Daniel Thomas Wise, DC's National Provider Identifier is 1700903390, issued on Mar 26, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Phoenix, MD. The record was last updated on Jul 8, 2007.