Individual
DR. MICHAEL WAYNE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 424-6066
Mailing address
714 COBBLESTONE DR, SHREVEPORT, LA 71106-7208
(318) 424-6066
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
016366
LA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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