Individual
ANDREW WILLIAM GOTTSCHALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 S CLEARVIEW PKWY, STE 104, JEFFERSON, LA 70121-1015
(504) 736-4800
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
259369
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD208145
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
MD441388
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00709541
—
MS
05
—
03296595
—
NY
05
—
102534788
—
PA
05
—
2402706
—
LA
05
—
778143000
—
MN
Enumeration date
04/02/2007
Last updated
12/30/2015
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