# DR JOHN M WISE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124488630
- **Authorized official:** MRS. KELLIE ROBICHAUX (OFFICE MANAGER)
- **Authorized official phone:** (504) 897-5121

## Contact information

- **Practice address:** 2820 NAPOLEON AVE, SUITE 460, NEW ORLEANS, LA 70115-6969
- **Practice address phone:** (504) 897-5121
- **Practice address fax:** (504) 897-9743
- **Mailing address:** 2820 NAPOLEON AVE, SUITE 460, NEW ORLEANS, LA 70115-6969
- **Mailing address phone:** (504) 897-5121
- **Mailing address fax:** (504) 897-9743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12877R | LA | Yes |

## Other

- **Enumeration date:** 02/25/2016
- **Last updated:** 03/15/2016