Organization
DR JOHN M WISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLIE ROBICHAUX (OFFICE MANAGER)
(504) 897-5121
Entity
Organization
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 460, NEW ORLEANS, LA 70115-6969
(504) 897-5121
(504) 897-9743
Mailing address
2820 NAPOLEON AVE, SUITE 460, NEW ORLEANS, LA 70115-6969
(504) 897-5121
(504) 897-9743
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12877R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1545759
—
LA
Enumeration date
02/25/2016
Last updated
03/15/2016
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