Individual
MATTHEW MARK WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9605 JEFFERSON HWY STE E, RIVER RIDGE, LA 70123-2550
(504) 738-1600
(504) 737-1264
Mailing address
1100 POYDRAS ST, 2500 ENERGY CENTER, NEW ORLEANS, LA 70163-2500
(045) 527-9953
(045) 527-9950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
345835
LA
207Q00000X
Family Medicine Physician
OS020546
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
04/04/2018
Last updated
08/12/2025
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