Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM R. WISE, MD
ActiveWILLIAM R. WISE, MD is a Emergency Medical Services healthcare provider located in SHREVEPORT, Louisiana. NPI 1841245842 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Services · SHREVEPORT, LA
Registration Details
- NPI Number
- 1841245842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2006 (20.247776288074 yrs)
- Last Updated
- Apr 29, 2008
- License
-
026095 (LA)
Practice Information
- Address
-
1121 GATEWOOD CIRCLESHREVEPORT, LA, 71106Browse LA providers · Browse ZIP 71106
- Phone
- 3187982660
- Primary Specialty
-
Emergency Medical Services
207PE0004X
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.