Larry Keith Wise is a Psychiatry Physician based in Salisbury, MD and is specialized in Psychiatry. Larry Keith Wise practices in Salisbury, MD and has the professional credentials of MD. The NPI Number for Larry Keith Wise is 1407982721 and holds a License No. MD26174 (Maryland).
The current practice location address for Larry Keith Wise is 2336 Goddard Pkwy, Salisbury, MD and can be reached out via phone at 410-334-6961 and via fax at 410-334-6362.
Identifier | Type | State | Issuer |
---|---|---|---|
930593249 | 01 | OR | GROUP TAX ID # |
609550001 | 05 | MD | |
609550002 | 05 | MD | |
1225016561 | 01 | OR | GROUP NPI # |
609550004 | 05 | MD | |
LM49EA | 01 | MD | CAREFIRST BCBS LOCAL |
R968 | 01 | MD | CAREFIRST BCBS |
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