Most Relevant Information
Provider Data
| NPI Number: | 1003834169 |
| Provider Name: | WAME NICHOLAS WAGGENSPACK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 19439 |
Most Important Dates
| Enumeration Date: | 07/17/2006 |
| Last Updated: | 04/21/2021 |
Provider Practice Location
8080 BLUEBONNET BLVD
SUITE 1000
BATON ROUGE
LA
708107827
Practice Location Phone/Fax
| Phone: | 2259242424 |
| Fax: | 2254087984 |
Provider Mailing Location
8080 BLUEBONNET BLVD
SUITE 1000
BATON ROUGE
LA
708107827
Provider Mailing Phone/Fax
| Phone: | 2259242424 |
| Fax: | 2254087984 |