Matthew David Wise in St Louis Park - Pediatric Endocrinology

Matthew David Wise - NPI 1295944932

Matthew David Wise is a Pediatric Endocrinology in St Louis Park, Minnesota. Matthew David Wise practices all healthcare services and medical treatments related to Pediatric Endocrinology. The NPI Number for Matthew David Wise is 1295944932. The last update date is 2013-12-06.

Matthew David Wise's current location address is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529931792 and fax number 9529931761. The mailing address for Matthew David Wise is 3800 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew David Wise
Address 3800 Park Nicollet Blvd, St Louis Park, Minnesota
Phone Number 9529931792
Fax Number 9529931761
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295944932
Provider Enumeration Date 2007-05-21
Last Updated Date 2013-12-06

Provider Mailing Address Detail

Address 3800 Park Nicollet Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554162527
Phone Number 9529931792
Fax Number 9529931761

Provider's Primary Taxonomy Detail

Speciality Pediatric Endocrinology
Taxonomy 2080P0205X
Licence No 57356
Definition:
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual

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FAQs about Matthew David Wise

What is the unique 10-digit identification code issued to Matthew David Wise by the Centers for Medicare & Medicaid Services?

The Matthew David Wise has been assigned the NPI (National Provider Identifier) 1295944932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Matthew David Wise?

The Matthew David Wise is physically situated at 3800 Park Nicollet Blvd, in the city of St Louis Park, state of MN, with the postal code 554162527.

What is Matthew David Wise's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Matthew David Wise is Pediatric Endocrinology, and the taxonomy code that classifies this field of practice is 2080P0205X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295944932 to Matthew David Wise?

The Matthew David Wise received its 1295944932 assignment from the Centers for Medicare & Medicaid Services on 2007-05-21.

When was the information regarding Matthew David Wise, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Matthew David Wise, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-12-06.

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