Individual
DR. RENNIE WYNN CULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4324 LOVELAND ST, METAIRIE, LA 70006-4122
(504) 455-9990
(504) 455-5715
Mailing address
4324 LOVELAND ST, METAIRIE, LA 70006-4122
(504) 455-9990
(504) 455-5715
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
012378
LA
2084P0800X
Psychiatry Physician
H0042
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03589
BLUE CROSS PROVIDER NUMBE
LA
Enumeration date
02/28/2007
Last updated
07/08/2007
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