Individual
DR. MATTHEW DAVID WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, MINNEAPOLIS, MN 55416-2527
(952) 993-1792
(952) 993-1761
Mailing address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1792
(952) 993-1761
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
57356
MN
Other
Enumeration date
05/21/2007
Last updated
12/06/2013
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