Search › Louisiana › 207R00000X
Jeremy Waggenspack, M.D
NPI 1437342615 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6723 Vicksburg St
New Orleans, LA 70124 - Phone
- (504) 875-4029
- Organisation at this address
- Waggenspack Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208000000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-03-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana