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NPI Code Detail

MEDICARE: JAMES P WISE MD

MEDICARE: JAMES P WISE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician22839-020WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184667784
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES P WISE MD
Provider Business Mailing Address
First Line : 1821 S STOUGHTON RD
Second Line :
City : MADISON
State : WI
Zip : 53716-2257
Country : US
Telephone Number : 608-260-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1821 S STOUGHTON RD
Second Line : DEAN MEDICAL CENTER
City : MADISON
State : WI
Zip : 53716-2257
Country : US
Telephone Number : 608-260-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 02/22/2026

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