ROLAND S WAGUESPACK

Dr ROLAND S WAGUESPACK is a male medical professional, specializing in Family Medicine. He graduated in 1965 from Louisiana State University School Of Medicine In New Orleans.

Contact

1108 SAINT JAMES ST
VACHERIE
LA
700905320

Tel:

ROLAND S WAGUESPACK Information

Npi 1013983295
Pac Id 9133261902
Professional Enrollment Id I20100118000195
Last Name WAGUESPACK
First Name ROLAND
Middle Name S
Suffix
Gender M
Credential
Medical School Name LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year 1965
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1108 SAINT JAMES ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VACHERIE
State LA
Zip Code 700905320
Phone Number
Hospital Affiliation Ccn 1 191305
Hospital Affiliation Lbn 1 ST JAMES PARISH HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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