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Individual

STEPHEN CALDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-6958
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 516-5315

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN134258
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
123428
LA
367500000X
Certified Registered Nurse Anesthetist
RN134258
LA

Other

Enumeration date
06/13/2019
Last updated
06/17/2021
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