Search › Wisconsin › 363A00000X
John Wise, PA
NPI 1093739724 · on the registry since 2006
Practice
- Address
- 2793 Lineville Rd
Green Bay, WI 54313 - Phone
- (920) 496-4700
- Fax
- (920) 496-4705
- Organisation at this address
- St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Additional practice sites
- 7501 Grand Ave, Gurnee, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin