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Contact Information

JOHN M WISE, MD
1006 W MAIN ST
BOZEMAN, MT59715-3219
 Phone: 406-586-8711
 Fax: 406-587-2602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JOHN M WISE · (Male)

NPI Number 1043205586
Status Active
Credentials MD
Entity Individual
Enumeration date 09/12/2005
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 4048
  • MT Other 930037579 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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