IndividualActive
Matthew Wise, MD
NPI 1295944932 · Pediatric Endocrinology Physician · Minneapolis, MN
Provider details
- NPI number
- 1295944932
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 57356 (MN)
Practice location
3800 Park Nicollet Blvd
Minneapolis, MN 55416-2527
Phone: (952) 993-1792
Fax: (952) 993-1761
Mailing address
3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Registry dates
- Enumerated
- 2007-05-21
- Last updated
- 2013-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.