| Rolandponarskiatprofessionalcorporation | |
|
487 Rowland Dr Monroe LA 71203-8545 | |
| (318) 343-6780 | |
| Not Available |
| Full Name | Rolandponarskiatprofessionalcorporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 487 Rowland Dr, Monroe, Louisiana |
| Authorized Official Name and Position | Roland Ponarski (INTERNALMEDINICEPHYSICIAN) |
| Authorized Official Contact | 3183436780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolandponarskiatprofessionalcorporation 487 Rowland Dr Monroe LA 71203-8545 Ph: (318) 343-6780 | Rolandponarskiatprofessionalcorporation 487 Rowland Dr Monroe LA 71203-8545 Ph: (318) 343-6780 |
| NPI Number | 1386803971 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 06/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386803971 | NPI | - | NPPES |
| 1967777 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD09892R (Maryland) | Primary |
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