Paul Edward Wise, MD
Colon & Rectal Surgery Physician · Saint Louis, MO
Practice location
4500 Forest Park AveDiv Surg Colon/Rectal, 5TH Fl
Saint Louis, MO 63108-2114
- Phone
- (314) 454-7177
- Fax
- (888) 425-7946
NPI record
- NPI
- 1619076056
- Entity type
- Individual (Type 1)
- Enumeration date
- September 22, 2006
- Last updated
- April 17, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Colon & Rectal Surgery Physician Primary | 208C00000X |
2012011934 | MO |
| Surgery Physician | 208600000X |
2012011934 | MO |
Mailing address
PO Box 7412011Chicago, IL 60674-2011
- Phone
- (314) 454-7177
- Fax
- (888) 425-7946
About Dr. Wise
Paul Edward Wise, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Colon & Rectal Surgery Physician (code 208C00000X). The practice location is 4500 Forest Park Ave, Div Surg Colon/Rectal, 5TH Fl, Saint Louis, MO 63108-2114. The NPI number 1619076056 was assigned on September 22, 2006 and the record was last updated on April 17, 2025.
Dr. Wise lists 2 licenses in the registry: #2012011934 (MO) for Colon & Rectal Surgery Physician; #2012011934 (MO) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Paul Edward Wise, MD?
The NPI number is 1619076056.
What is the phone number of Dr. Wise?
The phone number listed for the practice location is (314) 454-7177.
Where is Dr. Wise located?
4500 Forest Park Ave, Div Surg Colon/Rectal, 5TH Fl, Saint Louis, MO 63108-2114.
What is the taxonomy code for Dr. Wise?
The primary taxonomy code is 208C00000X – Colon & Rectal Surgery Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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