Individual
DR. WENDY K BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
344812
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110183591A
—
MA
05
—
3138090
—
NH
Enumeration date
06/14/2006
Last updated
01/29/2025
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