Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CORINNE MARIE WISDO, DPM
ActiveDR. CORINNE MARIE WISDO, DPM is a Foot Surgery Podiatrist healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1053511253 is currently active in the NPPES registry. Verify at CMS.
Foot Surgery Podiatrist · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1053511253
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 25, 2007 (19.076215985916 yrs)
- Last Updated
- Jan 29, 2015
- Licenses
-
SC006008 (PA)592 (SC)
Practice Information
- Address
-
907 MEDICAL CIRMYRTLE BEACH, SC, 295724116Browse SC providers · Browse ZIP 29572
- Phone
- 8433573762
- Fax
- 8433573772
- Primary Specialty
-
Foot Surgery Podiatrist
213ES0131X
- Additional Specialty
- Foot Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.