Individual
MATTHEW WHITTEN WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2820 NAPOLEON AVE, SUITE 810, NEW ORLEANS, LA 70115-6969
(504) 412-1310
(504) 899-8496
Mailing address
2820 NAPOLEON AVE, SUITE 810, NEW ORLEANS, LA 70115-6969
(504) 412-1310
(504) 899-8496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
024879
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07133512
—
MS
05
—
1570877
—
LA
Enumeration date
07/23/2006
Last updated
12/23/2010
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