DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STUART R WISE, M.D.

Active Sole Proprietor

DR. STUART R WISE, M.D. is a Reproductive Endocrinology healthcare provider located in PROVO, Utah. NPI 1154582443 is currently active in the NPPES registry. Verify at CMS.

Reproductive Endocrinology · PROVO, UT

Registration Details

NPI Number
1154582443
Provider Type
Individual
Gender
Male
NPI Issued
Jun 19, 2008 (18.176745342308 yrs)
Last Updated
Jun 19, 2008
License
161107-1205 (UT)
Sole Proprietor
Yes

Practice Information

Address
1579 WILLOW LN
PROVO, UT, 846042804
Browse UT providers · Browse ZIP 84604
Phone
8017224678
Primary Specialty
Reproductive Endocrinology
207VE0102X

Other Reproductive Endocrinology Providers in PROVO, UT

Name Credential NPI
ANDREW MOORE 1386866572
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.