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Search › Indiana › 237700000X

Sondra Wise, 17001471A

NPI 1457120503 · on the registry since 2023

Practice

Address
6736 Lima Rd
Fort Wayne, IN 46818
Phone
(260) 489-8793
Organisation at this address
Sams East Inc
Sam'S Club Optical
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana