Dr. Matthew David Wise
Pediatric Endocrinologist
3800 Park Nicollet Blvd
Minneapolis
, Minnesota 55416-2527
Dr. Matthew David Wise
Pediatric Endocrinologist
3800 Park Nicollet Blvd
Minneapolis
, Minnesota 55416-2527
(952) 993-1761
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Matthew David Wise
- 3800 Park Nicollet Blvd
- St Louis Park, MN
- Zip : 55416-2527
- Fax : (952) 993-1761
- Phone : (952) 993-1792
Second Address
- Dr. Matthew David Wise
- 3800 Park Nicollet Blvd
- Minneapolis, MN
- Zip : 55416-2527
- Fax : (952) 993-1761
- Phone : (952) 993-1792
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | 57356 | MN |
National Provider Identifier
| NPI | 1295944932 |
|---|---|
| Provider Name | Dr. Matthew David Wise |
| First Address | St Louis Park, MN 55416-2527 |
| Second Address | Minneapolis, MN 55416-2527 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2007 |
| Last Update Date | 06/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.