Individual
KATY WILTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2633 NAPOLEON AVE STE 1020, NEW ORLEANS, LA 70115-7403
(504) 891-8004
Mailing address
2633 NAPOLEON AVE STE 1020, NEW ORLEANS, LA 70115-7403
(504) 891-8004
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.202130
LA
207N00000X
Dermatology Physician
MD2016-0964
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706
—
LA
Enumeration date
08/05/2007
Last updated
04/06/2021
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