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

Dr. Stuart R Wise, MD

Individual provider Reproductive Endocrinology Physician · NPI 1154582443

Dr. Stuart R Wise, MD is a Reproductive Endocrinology Physician in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1579 Willow Ln
Provo, UT 84604-2804
Phone: (801) 722-4678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Reproductive Endocrinology Physician (primary) Taxonomy 207VE0102X · Licence 161107-1205 (UT)

Record details

NPI number1154582443
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2008
Last updated in NPPESJune 19, 2008
Mailing address1579 Willow Ln, Provo, UT 84604-2804

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