Individual
STEPHEN M WELCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
400 RUSSELL AVE BLDG 41, BELLE CHASSE, LA 70037-1006
(504) 678-7970
Mailing address
400 RUSSELL AVE BLDG 41, BELLE CHASSE, LA 70037-1006
(504) 678-7970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
854094AT
LA
152W00000X
Optometrist
Primary
854094T
LA
Other
Enumeration date
12/12/2006
Last updated
07/21/2022
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