D. MILLER WISE MD - NPI 1629120431 - Plastic Surgery in Walnut Creek, CA

Q: What is D. Miller Wise's NPI number?

The NPI number for D. Miller Wise is 1629120431. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is D. Miller Wise's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for D. Miller Wise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About D. Miller Wise Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D. MILLER WISE MD (NPI 1629120431) is an individual plastic surgery provider in Walnut Creek, California, licensed in California (C35170) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1629120431

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameD. MILLER WISECredential: MD

Location Address1425 S MAIN STWalnut Creek, CA 94596-5318

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262

Phone(925) 295-4000

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629120431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in CA · C35170

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1425 S MAIN ST, Walnut Creek, CA 94596

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Other Identifiers 3

Medicare ID-Type Unspecified00C351700

Medicaid00C351700CA

Medicare UPINA05936

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOK ANDREW WOOLLEY M.D.

Emergency Medicine

1425 S MAIN ST, EMERGENCY MEDICINE DEPARTMENT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-5100

DR. THOMAS CRESANTE D.O.

Hospitalist

1425 S MAIN ST, KAISER PERMANENTE WALNUT CREEK ATTN: HBS DEPT
WALNUT CREEK, CA 94596

Contra Costa County (925) 295-4643

SARA WON MD

Obstetrics & Gynecology