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Johnathan Lloyd Wise, MD
Obstetrics & Gynecology Physician in Thibodaux, Louisiana
NPI 1992125355

Johnathan Lloyd Wise is a Obstetrics & Gynecology Physician based in Thibodaux, LA. Johnathan Lloyd Wise practices in Thibodaux, LA and has the professional credentials of MD. The NPI Number for Johnathan Lloyd Wise is 1992125355 and holds a License No. (Louisiana).

The current practice location address for Johnathan Lloyd Wise is 406 N Acadia Rd, Thibodaux, LA and can be reached out via phone at 985-446-2890 and via fax at 985-446-2189. You can also correspond with Johnathan Lloyd Wise through the mailing address at 406 N ACADIA RD, THIBODAUX, LA - 70301-4856 (mailing address contact number: 985-446-2890).

Location: 406 N Acadia Rd, Thibodaux, LA, 70301-4856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992125355
Provider Name
Johnathan Lloyd Wise
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
406 N Acadia Rd, Thibodaux, LA, 70301-4856
Phone Number
985-446-2890
Fax Number
985-446-2189
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
406 N Acadia Rd
City
Thibodaux
State
Louisiana
Zip
70301-4856
Phone Number
985-446-2890
Fax Number
985-446-2189
person
Provider Business Mailing Address Details
Address
406 N Acadia Rd
City
Thibodaux
State
Louisiana
Zip
70301-4856
Phone Number
985-446-2890
Fax Number
985-446-2189
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD.308148 (Louisiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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