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Rebecca Wise, DO

NPI 1891100954ActiveIndividual· Pediatrics· Canton, MI

Pediatrics (DO) in Canton, Michigan, licensed in MI and VA, with an NPI issued in June 2014.

Overview

NPI1891100954
StatusActive
Entity typeIndividual
CredentialDO
Sole proprietorYes
NPI issuedJun 27, 2014
Last updated in NPPESOct 8, 2020
Certified by providerOct 8, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X5101025665MI
Pediatrics208000000X0102205010VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in Canton

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