TIMOTHY WISE

JEFFERSONVILLE, IN
NPI1467949073
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71007909A)
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
TIMOTHY WISE
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130-2930
Phone number: 812-284-2273
Mailing Address
TIMOTHY WISE
1701 SPRING ST STE B
JEFFERSONVILLE, IN 47130-2930
Phone number: 812-284-2273
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