Individual provider · Type 1 NPI

Mike William Wise

Specialist · Sapulpa, OK

NPI number 1740427582 Active

Practice location

101 E Ross Ave
Sapulpa, OK 74066-6425

Call (918) 227-2016 Map

Fax (918) 227-5875

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740427582

Mike William Wise's National Provider Identifier is 1740427582, issued on Jan 15, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sapulpa, OK. The record was last updated on Jan 15, 2009.