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Individual

MADELYN REBSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130-5223
(504) 899-2800
Mailing address
1117 LAKE FRANCES DR, GRETNA, LA 70056-8318
(504) 301-8181

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/28/2017
Last updated
06/28/2017
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