Martha R Wafer M.D.

NPI 1619179421 - Family Medicine - 207Q00000X

NPI Details
NPI 1619179421
Gender Female
Enumeration Date 06/04/2007
Last Updated 06/22/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
102 MONROE STREET
SUITE B
MINDEN LA, 71055, US
Phone (318) 382-4900
Fax
Business Location
102 MONROE STREET
SUITE B
MINDEN LA, 71055, US
Phone (318) 382-4900
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number MD.026488
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According to our database, Martha R Wafer M.D. NPI is 1619179421, taxonomy code is 207Q00000X and license number is MD.026488, license state is located at Louisiana. Martha R Wafer M.D. physically located at 102 Monroe Street, Minden LA, 71055. NPI Number Martha R Wafer M.D. has the Individual type.

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1619179421 NPI number is provided on an as is basis without warranty of any kind. 1619179421 is maintained by the National Plan & Provider Enumeration System. The contents of Martha R Wafer M.D. are for informational purposes only.