Wise, Elliott

Wise, Elliott is an individual health care provider with primary practice located at 9645 Grove Cir N Ste 200 , Maple Grove MN 55369-2684. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wise, Elliott can be contacted via phone (763) 201-8191.

Contact Information

Primary practice address
9645 Grove Cir N Ste 200 Maple Grove MN 55369-2684
Phone: (763) 201-8191
Fax: (763) 201-8192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11264 Minnesota

Profile Details

NPI number 1477818292
LBN Legal business name Wise, Elliott
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2012
Last updated Jul 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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