Individual
DR. FREDERICK WICKS BRAZDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 PERDIDO ST, PATHOLOGY DEPT. 5TH FLOOR, NEW ORLEANS, LA 70112-1393
(504) 568-6031
(504) 568-6037
Mailing address
1901 PERDIDO ST, PATHOLOGY DEPT. 5TH FLOOR, NEW ORLEANS, LA 70112-1393
(504) 568-6031
(504) 568-6037
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
011447
LA
Other
Enumeration date
07/11/2005
Last updated
01/13/2010
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