Phillip Gregory Wise in Grand Rapids - Urology
Phillip Gregory Wise - NPI 1124124086
Phillip Gregory Wise is a Urology in Grand Rapids, Michigan. Phillip Gregory Wise practices all healthcare services and medical treatments related to Urology. The NPI Number for Phillip Gregory Wise is 1124124086. The last update date is 2023-03-20.
Phillip Gregory Wise's current location address is 25 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164594171 and fax number 6164590044. The mailing address for Phillip Gregory Wise is 25 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Gregory Wise |
|---|---|
| Address | 25 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6164594171 |
| Fax Number | 6164590044 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124124086 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2023-03-20 |
Provider Mailing Address Detail
| Address | 25 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032515 |
| Phone Number | 6164594171 |
| Fax Number | 6164590044 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 4301078939 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5217870 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip Gregory Wise by the Centers for Medicare & Medicaid Services?
The Phillip Gregory Wise has been assigned the NPI (National Provider Identifier) 1124124086. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Phillip Gregory Wise is geographically located?
The Phillip Gregory Wise is physically situated at the following location: 25 Michigan St Ne, Grand Rapids, MI, 495032515.
What is the area of specialization for Phillip Gregory Wise, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Gregory Wise is Urology, and the corresponding taxonomy code that categorizes this area of expertise is 208800000X.
When was the Phillip Gregory Wise's 1124124086 issued?
The Phillip Gregory Wise's 1124124086 was issued on 2006-09-16.
As of what date was the information pertaining to Phillip Gregory Wise, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Phillip Gregory Wise, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-20.
NPI Number: 1235130048
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