North Louisiana Internal Medicine | |
2508 Bert Kouns Industrial Loop Suite 400 Shreveport LA 71118-3133 | |
(318) 673-8320 | |
(318) 681-7975 |
Full Name | North Louisiana Internal Medicine |
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Speciality | Internal Medicine |
Location | 2508 Bert Kouns Industrial Loop, Shreveport, Louisiana |
Authorized Official Name and Position | Charles P Wedrner (PHYSICIAN) |
Authorized Official Contact | 3186738320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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North Louisiana Internal Medicine 2508 Bert Kouns Industrial Loop Suite 400 Shreveport LA 71118-3133 Ph: (318) 673-8320 | North Louisiana Internal Medicine 2508 Bert Kouns Industrial Loop Suite 400 Shreveport LA 71118-3133 Ph: (318) 673-8320 |
NPI Number | 1942584123 |
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Provider Enumeration Date | 10/05/2011 |
Last Update Date | 02/17/2017 |
Identifier | Type | State | Issuer |
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1942584123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Louisiana) | Primary |
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