Wise, Steven M

Wise, Steven M is an individual health care provider with primary practice located at 2946 E Banner Gateway Drive , Gilbert AZ 85234-2165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wise, Steven M can be contacted via phone (480) 256-6444.

Contact Information

Primary practice address
2946 E Banner Gateway Drive Gilbert AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-3682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5126120 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 43723 Arizona

Profile Details

NPI number 1336330869
LBN Legal business name Wise, Steven M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Jan 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336330869 NPPES
Arizona MEDICAID 621178

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