Individual
MARK GABRIEL HAUSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 612, BATON ROUGE, LA 70808-4300
(225) 769-5656
(225) 766-6996
Mailing address
7777 HENNESSY BLVD, SUITE 612, BATON ROUGE, LA 70808-4300
(225) 769-5656
(225) 766-6996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
019550
LA
208600000X
Surgery Physician
Primary
019550
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01907046
—
MS
05
—
1927210
—
LA
01
—
G6521
BLUE CROSS
LA
Enumeration date
08/18/2006
Last updated
03/24/2021
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