Organization
DIABETES & METABOLISM ASSOC APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN K WISE MD (PRESIDENT)
(504) 737-5960
Entity
Organization
Contact information
Practice address
3901 HOUMA BLVD, SUITE 103, METAIRIE, LA 70006-2930
(504) 455-1300
(504) 780-0333
Mailing address
501 PARK RIDGE DR, RIVER RIDGE, LA 70123-1172
(504) 737-5960
(504) 737-1480
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/04/2006
Last updated
08/22/2020
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