Paul Edward Wise in Saint Louis - Surgery

Paul Edward Wise - NPI 1619076056

Paul Edward Wise is a Surgery in Saint Louis, Missouri. Paul Edward Wise practices all healthcare services and medical treatments related to Surgery. The NPI Number for Paul Edward Wise is 1619076056. The last update date is 2021-11-17.

Paul Edward Wise's current location address is 660 S Euclid Ave, Saint Louis, Missouri. You can contact this provider via phone number 3144547177 and fax number 8884257946. The mailing address for Paul Edward Wise is 660 S Euclid Ave, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Edward Wise
Address 660 S Euclid Ave, Saint Louis, Missouri
Phone Number 3144547177
Fax Number 8884257946
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619076056
Provider Enumeration Date 2006-09-22
Last Updated Date 2021-11-17

Provider Mailing Address Detail

Address 660 S Euclid Ave
City Saint Louis
State Missouri (MO)
Post Code 631101010
Phone Number 3144547177
Fax Number 8884257946

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 2012011934
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
209625003 MO --

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FAQs about Paul Edward Wise

What is the unique 10-digit identifier code issued to Paul Edward Wise by the Centers for Medicare & Medicaid Services?

The Paul Edward Wise has been assigned the NPI (National Provider Identifier) 1619076056 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Paul Edward Wise's facilities are situated?

The facilities of Paul Edward Wise are physically located at the following address: 660 S Euclid Ave, Saint Louis, MO, 631101010.

What is the Paul Edward Wise's area of specialization and corresponding taxonomy classification?

The Paul Edward Wise's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.

When did Paul Edward Wise receive its 1619076056 assignment?

The Paul Edward Wise was assigned its 1619076056 on 2006-09-22, which is the date when this unique identifier was issued to the organization.

As of what date were the Paul Edward Wise's details last updated?

The information pertaining to the Paul Edward Wise, including its address, specialty, and other details, was most recently updated on 2021-11-17.

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