Individual
CHARLES R TESSIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5475 ESSEN LANE, BATON ROUGE, LA 70809
(225) 767-2750
(225) 767-2832
Mailing address
5475 ESSEN LANE, BATON ROUGE, LA 70809
(225) 767-2750
(225) 767-2832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014900
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316580
—
LA
Enumeration date
11/02/2006
Last updated
07/08/2007
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