Individual provider · Type 1 NPI
Jean Wedner Rousseau, MD
General Practice Physician · Shreveport, LA
NPI number
1750485900
Active
Practice location
4140 Hollywood Avenue
Shreveport, LA 71109-7818
Fax (318) 621-0169
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 06203R (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1750485900
Jean Wedner Rousseau, MD's National Provider Identifier is 1750485900, issued on Sep 9, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.