# DIABETES & METABOLISM ASSOC APMC

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

## Provider details

- **NPI number:** 1801874458
- **Authorized official:** JONATHAN K WISE MD (PRESIDENT)
- **Authorized official phone:** (504) 737-5960

## Contact information

- **Practice address:** 3901 HOUMA BLVD, SUITE 103, METAIRIE, LA 70006-2930
- **Practice address phone:** (504) 455-1300
- **Practice address fax:** (504) 780-0333
- **Mailing address:** 501 PARK RIDGE DR, RIVER RIDGE, LA 70123-1172
- **Mailing address phone:** (504) 737-5960
- **Mailing address fax:** (504) 737-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/04/2006
- **Last updated:** 08/22/2020
