Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WENDELL E. WALL, M.D.
Active Sole ProprietorInternal Medicine · SHREVEPORT, LA
Registration Details
- NPI Number
- 1639174105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2005 (20.835850968185 yrs)
- Last Updated
- Oct 22, 2018
- Licenses
-
11458R (LA)MD.11458R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1801 FAIRFIELD AVENUE, SUITE 200SHREVEPORT, LA, 71101Browse LA providers · Browse ZIP 71101
- Phone
- 3186751800
- Fax
- 3186751818
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| PAUL A RUSHING | MD | 1003810904 |
| DR. ROAN L FLENNIKEN | MD | 1023012960 |
| DR. RICHARD JAMES MICHAEL | MD | 1861496671 |
| ALAN JOHN BORNE | M.D. | 1700881299 |
| DR. PEYMAN ROOHANI | MD | 1285632745 |
| DR. THOMAS STEEN TRAWICK JR. | M.D. | 1487652970 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.