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Individual

DR. NORMAN EUGENE ANSEMAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3440 DIVISION ST STE I, METAIRIE, LA 70002-8607
(048) 375-2445
(504) 837-5245
Mailing address
3440 DIVISION ST, METAIRIE, LA 70002-8606
(337) 237-3637
(504) 837-5245

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
012249
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110008256
RAILROAD MEDICARE
LA
05
1197939
LA
01
436625360
BLUE CROSS BLUE SHIELD OF
LA
01
70503001
CHAMPUS
LA
Enumeration date
01/17/2006
Last updated
11/02/2023
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