Provider Demographics
NPI:1053308163
Name:MORSTEAD, ROLF DANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROLF
Middle Name:DANIEL
Last Name:MORSTEAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:318-966-1800
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:312 GRAMMONT ST
Practice Address - Street 2:STE 301
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-966-1800
Practice Address - Fax:318-966-1802
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD022706208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1492221Medicaid
5H366CD77Medicare ID - Type Unspecified
H17408Medicare UPIN