Individual
DR. WALTER MICHAEL BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-1656
(504) 349-1933
Mailing address
1101 MEDICAL CENTER BLVD, MARRERO, LA 70072-3147
(504) 349-1656
(504) 349-1933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
307621
LA
207R00000X
Internal Medicine Physician
G83310
CA
Other
Enumeration date
12/05/2005
Last updated
01/02/2019
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