Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Phillip Gregory Wise, MD

Individual provider Urology Physician · NPI 1124124086

Dr. Phillip Gregory Wise, MD is an Urology in Grand Rapids, Michigan. Graduated from University of Southern California Keck School of Medicine in 1982, 44 years ago. Practices with Michigan Institute of Urology PC, a 83-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
44
Trained at
University of Southern California Keck School of Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

25 Michigan St NE Ste 3300
Grand Rapids, MI 49503-2515
Phone: (616) 459-4171
Fax: (616) 459-0044
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301078939 (MI)

Record details

NPI number1124124086
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Michigan Institute Of Urology Pc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Grand Rapids