DR. NICOLETTE WISE, DO

Anesthesiology

Active Individual
NPI: 1104084888

Practice Address

1125 MADISON ST
Jefferson City, MO 65101

Phone: (316) 268-5000

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes 6966 (KS)

Frequently Asked Questions

NPI 1104084888 is the National Provider Identifier for DR. NICOLETTE WISE, DO, a Anesthesiology provider located in Jefferson City, MO. This NPI was enumerated on May 29, 2008.
DR. NICOLETTE WISE, DO practices at 1125 MADISON ST, Jefferson City, MO 65101.

Quick Facts

NPI
1104084888
Type
Individual
Enumerated
May 29, 2008
Last Updated
Mar 12, 2014

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