MR. WENDELL WALL, M.D.
Internal Medicine
Active
Individual
NPI: 1639174105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | MD.11458R (LA) |
Frequently Asked Questions
NPI 1639174105 is the National Provider Identifier for MR. WENDELL WALL, M.D., a Internal Medicine provider located in Shreveport, LA. This NPI was enumerated on June 20, 2005.
MR. WENDELL WALL, M.D. practices at 1801 FAIRFIELD AVENUE, SUITE 200, Shreveport, LA 71101.
Quick Facts
- NPI
- 1639174105
- Type
- Individual
- Enumerated
- Jun 20, 2005
- Last Updated
- Oct 22, 2018
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