Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA WISE, DO
Active Sole ProprietorREBECCA WISE, DO is a Pediatrics healthcare provider located in CANTON, Michigan. NPI 1891100954 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · CANTON, MI
Registration Details
- NPI Number
- 1891100954
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2014 (12.094793325193 yrs)
- Last Updated
- Oct 8, 2020
- Licenses
-
0102205010 (VA)5101025665 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
49650 CHERRY HILL RD STE 210CANTON, MI, 481874859Browse MI providers · Browse ZIP 48187
- Phone
- 7343987899
- Fax
- 7343987895
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in CANTON, MI
| Name | Credential | NPI |
|---|---|---|
| DEBRA MARIE LANGLOIS | M.D. | 1265433304 |
| DR. BADER FATIMA KHAN | MD | 1174593966 |
| CHRISTINE GAY BRENNER | MD | 1013983899 |
| DR. KATHRYN FESSLER | — | 1902873797 |
| DR. LISA SPRAGUE | M.D. | 1053389593 |
| DR. KENDRICK OWINGS | M.D. | 1336117720 |
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.