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Individual

LOUIS M BIENVENU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9808 BLUEBONNET BLVD, BATON ROUGE, LA 70810-6442
(225) 224-8121
(225) 442-1927
Mailing address
9808 BLUEBONNET BLVD, BATON ROUGE, LA 70810
(225) 224-8121
(225) 442-1927

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036103653
IL
207P00000X
Emergency Medicine Physician
Primary
040391
LA
207P00000X
Emergency Medicine Physician
44191
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34315400
WI
01
930126907
MEDICARE RAILROAD
WI
01
930126908
MEDICARE RAILROAD
WI
01
P0080713
MEDICARE RAILROAD
WI
Enumeration date
04/06/2006
Last updated
07/21/2022
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