Todd V Wise, MD
Internal Medicine in Memphis, TN. Individual provider (NPI-1).
NPI number1790740892
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1790740892
- Entity type
- Individual (NPI-1)
- Name
- Todd V Wise
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MD21898 | OR | Yes |
| 207R00000X | Internal Medicine | S8264 | TX | |
| 207R00000X | Internal Medicine | MD60003713 | WA |
Practice location
1056 E Raines RdMemphis, TN 38116-6337
Phone 901-300-5777
Mailing address
Po Box 3158Portland, OR 97208-3158
Other practice locations
1321 Ne 99th Ave Ste 100
Portland, OR 97220-9437
Portland, OR 97220-9437
Phone 503-893-6670
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