Search › Louisiana › 207V00000X
Johnathan Wise, MD
NPI 1992125355 · on the registry since 2014 · sole proprietor
Practice
- Address
- 406 N Acadia Rd
Thibodaux, LA 70301 - Phone
- (985) 446-2890
- Fax
- (985) 446-2189
- Organisation at this address
- Dsi Renal Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana