Individual
DR. THEODORE WENSEL DEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 ATTAKAPAS DR STE 502, OPELOUSAS, LA 70570-6530
(337) 942-9977
(337) 942-8006
Mailing address
1270 ATTAKAPAS DR STE 502, OPELOUSAS, LA 70570-6530
(337) 942-9977
(337) 942-8006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017665
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1371424
—
LA
Enumeration date
06/20/2007
Last updated
01/20/2010
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