DR. ERIC STEPHEN WISE


Address: 909 Fulton St Se, Minneapolis, MN 55455-4800
Phone: 6126727422

DR. ERIC STEPHEN WISE (NPI# 1518252857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518252857
Entity Type Individual
Full Name DR. ERIC STEPHEN WISE
Credential M.D.
Practice Address 909 Fulton St Se
Minneapolis
MN 55455-4800
Mailing Address 420 Delaware St Se
Mmc 195
Minneapolis
MN 55455-0341
Practice Telephone 6126727422
Enumeration Date 2011-06-15
Last Update Date 2018-05-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 63749 MN Allopathic & Osteopathic Physicians

Other Providers ERIC WISE

NPI Name Taxonomy Address Enumeration
1114093366 Eric Richard Wise Chiropractor 1530 Jamacha Rd, Suite B1, El Cajon, CA 92019-3700 2006-11-28
1750841177 Eric Wise Occupational Therapist 5901 Nw 79th Ave, Tamarac, FL 33321-4639 2019-03-21
1487917704 Eric Wise Anesthesiology 1365 Broadway, Bangor, ME 04401-2401 2012-06-21
1912224841 Eric Lee Wise Internal Medicine 4990 W Clark Rd, Suite 300, Ypsilanti, MI 48197-1149 2010-05-03

Office Location

Street Address 909 FULTON ST SE
City MINNEAPOLIS
State MN
Zip Code 55455-4800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558365122 Gary L Bryant Internal Medicine 909 Fulton St Se, Minneapolis, MN 55455-4800 2005-06-10
1437756848 Kelsey Larsen Pharmacist 909 Fulton St Se, Attn: 1st Floor Pharmacy 1.273, Minneapolis, MN 55455-4800 2020-10-08
1518572254 Rachel Elizabeth Kraemer Audiologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-09-10
1912527268 Becca Marie Mahnesmith Nurse Practitioner 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-16
1073142212 Emily Kline Health Educator 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-04-08
1689200024 Zach Rivers Pharmacist 909 Fulton St Se, Minneapolis, MN 55455-4800 2020-03-17
1518506138 Carrie Leigh Kwiatkowski Specialist/Technologist 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-12-30
1801432414 Abigail Denise Conrad Physician Assistant 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-11-19
1700428497 Ashley Herman Dietitian, Registered 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-10-14
1104471275 Holly Heewon Lee Genetic Counselor, MS 909 Fulton St Se, Minneapolis, MN 55455-4800 2019-08-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1982213237 Yue Hu Dentist 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 2020-07-23
1952922148 Jacob Laurence Tigner Student in an Organized Health Care Education/Training Program 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 2020-04-29
1710507538 Rachael Grundman Student in an Organized Health Care Education/Training Program 420 Delaware St, Mmc 395, Minneapolis, MN 55455 2020-04-22
1497375240 Sanjay Dhawan Student in an Organized Health Care Education/Training Program 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 2020-04-22
1508486549 Dariel Andres Diaz Student in an Organized Health Care Education/Training Program 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 2020-04-20
1275186280 Kerem Ozturk Radiology B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 2019-07-18
1275194631 Andres Jose Gonzalez Coba Student in an Organized Health Care Education/Training Program 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 2019-06-26
1841850278 Brendan Andrew Schleyer Dentist 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 2019-06-18
1932767399 Claire-audrey Y Bayan Student in an Organized Health Care Education/Training Program 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 2019-05-31
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760993745 Allina Health System Surgery 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 2017-10-18
1619362001 Sean Luke Peterson Surgery 9 W Franklin Ave Apt 306, Minneapolis, MN 55404-2594 2015-04-02
1699173716 Caliann Tsuitsin Lum Surgery 110 Bank St Se Apt 904, Minneapolis, MN 55414-3903 2014-12-06
1972920338 Emily Rapstine Bond Surgery 420 Delaware St Se # 207, Minneapolis, MN 55455 2014-03-24
1659637502 Luke A Martin Surgery 3433 Broadway St Ne Ste 115, Minneapolis, MN 55413-1759 2012-04-04
1679708697 Daniel Shibru Surgery 333 Oak Grove St, Apt 211, Minneapolis, MN 55403-4004 2009-05-19
1871758706 Linnea Johanna Spens Surgery 700 Douglas Ave, Apartment 608, Minneapolis, MN 55403-6102 2008-07-21
1649445917 Natasha M Rueth Surgery 920 E 28th St Ste 460, Minneapolis, MN 55407-1286 2008-04-28
1134327901 James E Fisher Surgery 2530 Chicago Ave Ste 550, Minneapolis, MN 55404-4293 2007-07-03
1407073224 Melissa Elizabeth Brunsvold Surgery 516 Delaware Street Se, Clinic 1e, Ump Surgery Clinic, Minneapolis, MN 55455-0356 2007-04-20
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Competitor

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City MINNEAPOLIS
Zip Code 55455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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