NPI 1235107038
Matthew Jay Wise, MD
Practice location
- Address
- 431 S Batavia St STE 101, Orange, CA 92868-3937
- Phone
- (714) 363-3300
- Fax
- (714) 363-3847
Registered specialties
Phlebology Physician
Primary
Registry record
- NPI
- 1235107038
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Mar 2006
- Record last updated
- 4 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.