Anthony Wise
Case Manager/Care Coordinator in Wooster, OH. Individual provider (NPI-1).
NPI number1457053522
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1457053522
- Entity type
- Individual (NPI-1)
- Name
- Anthony Wise
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2000 Noble DrWooster, OH 44691-5353
Phone 330-264-3232
Mailing address
2000 Noble DrWooster, OH 44691-5353
Phone 330-264-3232
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