Individual
DR. MELVILLE Q. WYCHE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4346 BANCROFT DR, NEW ORLEANS, LA 70122-1202
(504) 286-7794
(504) 286-7796
Mailing address
4346 BANCROFT DR, NEW ORLEANS, LA 70122-1202
(504) 286-7794
(504) 286-7796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11067R
LA
208D00000X
General Practice Physician
11067R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1652717
—
LA
Enumeration date
07/13/2006
Last updated
03/11/2013
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