Individual
CHRISTIAN J WOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 427-3306
Mailing address
221 WINDERMERE BLVD, ALEXANDRIA, LA 71303-3538
(318) 443-9773
(318) 443-9773
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
202843
LA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
202843
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1887137
—
LA
05
—
568983000
—
MN
01
—
P00448380
MEDICARE, RAILROAD
MN
Enumeration date
02/13/2006
Last updated
07/21/2022
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