person
Dr. John Michael Wise, MD
Specialist in Bozeman, Montana
NPI 1043205586

John Michael Wise is a Specialist based in Bozeman, MT. John Michael Wise practices in Bozeman, MT and has the professional credentials of MD. The NPI Number for John Michael Wise is 1043205586 and holds a License No. 4048 (Montana).

The current practice location address for John Michael Wise is 1006 W Main St, Bozeman, MT and can be reached out via phone at 406-586-8711 and via fax at 406-587-2602.

Location: 1006 W Main St, Bozeman, MT, 59715-3219
person
Provider Profile Details
NPI Number
1043205586
Provider Name
John Michael Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1006 W Main St, Bozeman, MT, 59715-3219
Phone Number
406-586-8711
Fax Number
406-587-2602
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930037579 01 MT RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1006 W Main St
City
State
Zip
59715-3219
Phone Number
406-586-8711
Fax Number
406-587-2602
person
Provider Business Mailing Address Details
Address
1006 W Main St
City
State
Zip
59715-3219
Phone Number
406-586-8711
Fax Number
406-587-2602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
4048 (Montana)
Definition
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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