NPI 1619076056

Paul Edward Wise, MD

Practitioner Colon & Rectal Surgery Physician Saint Louis, MO

Practice location

Address: 4500 Forest Park Ave Div Surg Colon/Rectal, 5th Fl, Saint Louis, MO 63108-2114
Phone: (314) 454-7177
Fax: (888) 425-7946
Mailing address: PO Box 7412011, Chicago, IL 60674-2011

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 2012011934 (MO)

Other Colon & Rectal Surgery providers in Missouri →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 2012011934 (MO)

Other Surgery providers in Missouri →

Registry record

NPI: 1619076056
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2006
Record last updated: 17 Apr 2025

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.