DR. STEVEN LEE WISE M.D.
Allergy and Immunology
Indianapolis, Indiana
Provider NPI: 1740262211
Provider Information:DR. STEVEN LEE WISE M.D.
Practice Location:
9002 N MERIDIAN ST STE 107 INDIANAPOLIS, IN 46260 US
Tel: 317-848-9441 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology | IN | 01039205A |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | IN1125005 | IN | 01 |
| MEDICARE PTAN | IN1126005 | IN | 01 |
| 100101830 | IN | 05 | |
| MEDICARE PTAN | IN1127005 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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