Individual
DEREK ALEXANDER WIERZBICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 BELLE CHASE HIGHWAY, GRETNA, LA 70056
(504) 392-3131
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.026276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03656293
—
MS
05
—
1056545
—
LA
Enumeration date
08/21/2006
Last updated
08/20/2014
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