Organization
CHRISTIAN J. WOLD MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN J. WOLD M.D. (DOCTOR)
(318) 427-3300
Entity
Organization
Contact information
Practice address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 427-3300
(318) 427-3310
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 427-3300
(318) 427-3310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD 202843
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366736365
BLUE CROSS
LA
05
—
1887137
—
LA
Enumeration date
06/07/2011
Last updated
10/31/2011
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