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1124124086
PHILLIP GREGORY WISE
GRAND RAPIDS, MI
NPI
1124124086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: MI 4301078939)
Enumeration Date
2006-09-16
Last Update Date
2024-01-30
Business Address
Dr. PHILLIP GREGORY WISE M.D.
25 MICHIGAN ST NE SUITE 3300
GRAND RAPIDS, MI 49503-2515
Phone number: 616-459-4171
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Mailing Address
Dr. PHILLIP GREGORY WISE M.D.
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone number: 586-771-4820
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