Individual
DR. WILLIAM B. BISLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 N. ACADIA RD, SUITE 207, THIBODAUX, LA 70301
(985) 446-1763
(985) 446-9813
Mailing address
604 N. ACADIA RD, SUITE 207, THIBODAUX, LA 70301
(985) 446-1763
(985) 446-9813
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
199936
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063339
—
LA
Enumeration date
07/30/2007
Last updated
06/17/2009
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