Wise, Paul Edward

Wise, Paul Edward is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Colon/Rectal, Ste 12B, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Wise, Paul Edward can be contacted via phone (314) 454-7177.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Colon/Rectal, Ste 12B Saint Louis MO 63110-1032
Phone: (314) 454-7177
Fax: (888) 425-7946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2012011934 Missouri
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 2012011934 Missouri

Profile Details

NPI number 1619076056
LBN Legal business name Wise, Paul Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Apr 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619076056 NPPES
Missouri MEDICAID 209625003

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