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1689667180
SCOTT W WISE
HARRISBURG, PA
NPI
1689667180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: PA MD055460L)
Enumeration Date
2005-08-30
Last Update Date
2013-09-11
Business Address
SCOTT W WISE MD
4518 UNION DEPOSIT RD
HARRISBURG, PA 17111-2921
Phone number: 717-652-5840
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Mailing Address
SCOTT W WISE MD
4520 UNION DEPOSIT RD
HARRISBURG, PA 17111-2910
Phone number: 717-652-6105
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