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DR. STEVEN LEE WISE M.D.

Allergy and Immunology

Indianapolis, Indiana

Provider NPI: 1740262211

Provider Information:
DR. STEVEN LEE WISE M.D.


Practice Location:
3266 N MERIDIAN ST # 900 INDIANAPOLIS, IN 46208 US
Tel: 317-924-8297  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
IN01039205A

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTANIN1125005IN01
RAILROAD MEDICAREP0032119901
AACI BC/BS PIN NUMBER000000475714IN01
01039205AIN05
RAILROAD MEDICARE GROUPDE866301
MEDICARE PTANIN1127005IN01
200809930IN05
MEDICARE PTANIN1126005IN01
Code values:
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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