Provider Demographics
NPI:1114928306
Name:WOLFSHEIMER, FRANK B (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:B
Last Name:WOLFSHEIMER
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 1:5305 FLANDERS DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4349
Mailing Address - Country:US
Mailing Address - Phone:225-769-7375
Mailing Address - Fax:225-767-8937
Practice Address - Street 1:5305 FLANDERS DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4349
Practice Address - Country:US
Practice Address - Phone:225-769-7375
Practice Address - Fax:225-767-8937
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2007-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA05929R207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1324914Medicaid
LA5J625Medicare ID - Type Unspecified
LAB60548Medicare UPIN