Individual provider · NPI-1
Christopher Wise, PRC
Health & Wellness Coach · Lansing, MI
NPI number1326890161
StatusActive
Last updated in NPPESApr 4, 2024
Details
- NPI
- 1326890161
- Entity type
- Individual (NPI-1)
- Name
- Christopher Wise
- Credential
- PRC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2024
- Certification date
- Apr 4, 2024
- Last updated
- Apr 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
Practice location
1601 E Michigan AveLansing, MI 48912-2894
Phone 517-272-0520
Mailing address
1601 E Michigan AveLansing, MI 48912-2894
Phone 172-720-5205
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