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Individual

MRS. WENDY GRIM DONEYHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1000 OCHSNER BOULEVARD, COVINGTON, LA 70433
(985) 639-3777
Mailing address
103 W SAINT CLAIR ST, RM 1A, WARREN, PA 16365-2187
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD.201421
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09357021
MS
05
1508101
LA
Enumeration date
05/21/2007
Last updated
10/19/2020
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