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1841245842
WILLIAM R. WISE
SHREVEPORT, LA
NPI
1841245842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207PE0004X Emergency Medicine, Emergency Medical Services
(Licence: LA 026095)
Enumeration Date
2006-05-24
Last Update Date
2008-04-29
Business Address
-- WILLIAM R. WISE MD
1121 GATEWOOD CIRCLE
SHREVEPORT, LA 71106
Phone number: 318-798-2660
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Mailing Address
-- WILLIAM R. WISE MD
1121 GATEWOOD CIRCLE
SHREVEPORT, LA 71106
Phone number: 318-798-2660
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