person
Jean Wedner Rousseau, MD
General Practice Physician in Shreveport, Louisiana
NPI 1750485900

Jean Wedner Rousseau is a General Practice Physician based in Shreveport, LA. Jean Wedner Rousseau practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Jean Wedner Rousseau is 1750485900 and holds a License No. 06203R (Louisiana).

The current practice location address for Jean Wedner Rousseau is 4140 Hollywood Avenue, Shreveport, LA and can be reached out via phone at 318-621-9600 and via fax at 318-621-0169.

Location: 4140 Hollywood Avenue, Shreveport, LA, 71109-7818
person
Provider Profile Details
NPI Number
1750485900
Provider Name
Jean Wedner Rousseau
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4140 Hollywood Avenue, Shreveport, LA, 71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
Provider Enumeration Date
09/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1334022 05 LA
institution
Provider Business Practice Location Address Details
Address
4140 Hollywood Avenue
City
State
Zip
71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
person
Provider Business Mailing Address Details
Address
4140 Hollywood Avenue
City
State
Zip
71109-7818
Phone Number
318-621-9600
Fax Number
318-621-0169
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
06203R (Louisiana)
Definition
Definition to come...
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