Whalio Doctors

NPI 1043205586

John Michael Wise, MD

Practitioner Specialist Bozeman, MT

Practice location

Address
1006 W Main St, Bozeman, MT 59715-3219
Phone
(406) 586-8711
Fax
(406) 587-2602

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 4048 (MT)

Registry record

NPI
1043205586
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Sep 2005
Record last updated
17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.