| Michael R Sewell Md | |
|
2400 Hospital Dr Suite 350 Bossier City LA 71111-2385 | |
| (318) 212-7930 | |
| (318) 212-7935 |
| Full Name | Michael R Sewell Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 Hospital Dr, Bossier City, Louisiana |
| Authorized Official Name and Position | Greg J Gavin (NETWORK ADMINISTRATOR) |
| Authorized Official Contact | 3182124232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Sewell Md 2400 Hospital Dr Suite 350 Bossier City LA 71111-2385 Ph: (318) 212-7930 | Michael R Sewell Md 2400 Hospital Dr Suite 350 Bossier City LA 71111-2385 Ph: (318) 212-7930 |
| NPI Number | 1417989914 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 06/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417989914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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