Dr. Jeffrey M. Wise DO
Anesthesiology Physician in Plymouth, MN(View on Map)
Full Name
Dr. Jeffrey Mark Wise DO
NPI Number
1053871004
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/24/2019
Specialties
(Taxonomies)Licenses
State
Minnesota
License Number
73128
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 47159
14700 28TH AVE N STE 20
City
Plymouth
Plymouth
State
MN
MN
Postal Code
55447-0159
55447-4876
Country
US
US
Telephone Number
(763) 559-3779
(763) 559-3779
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/08/2023