Individual
JOHN WATERMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3715 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3761
(504) 895-2055
(504) 896-3870
Mailing address
3715 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3761
(504) 895-2055
(504) 896-3870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011880
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011880
LA STATE BOARD MEDICAL EX
LA
Enumeration date
09/24/2007
Last updated
10/20/2009
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