Individual
MICHAEL ROBERT SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
022107
LA
208M00000X
Hospitalist Physician
Primary
022107
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495603
—
LA
Enumeration date
06/21/2006
Last updated
05/15/2023
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