Organization
NORMAN E ANSEMAN JR MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
NORMAN E ANSEMAN JR MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMAN EUGENE ANSEMAN JR. M.D. (PRESIDENT)
(337) 237-3637
Entity
Organization
Contact information
Practice address
1101 S COLLEGE RD STE 206, LAFAYETTE, LA 70503-3038
(337) 237-3637
(337) 237-1757
Mailing address
PO BOX 52724, LAFAYETTE, LA 70505-2724
(337) 237-3637
(337) 237-1757
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
012249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023329
—
LA
01
—
DF6182
RAILROAD MEDICARE
LA
Enumeration date
02/23/2007
Last updated
12/07/2011
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