Individual
PETER HENICAN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7730 BURTHE ST, NEW ORLEANS, LA 70118-3945
(323) 839-7383
Mailing address
7730 BURTHE ST, NEW ORLEANS, LA 70118-3945
(323) 839-7383
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
861JNT
LA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
About Stedi
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