Provider Demographics
NPI:1518901875
Name:NUSS, DANIEL WEHRMANN (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:WEHRMANN
Last Name:NUSS
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 1:4950 ESSEN LN
Mailing Address - Street 2:MBPERKINS, 4TH FLOOR, SUITE A
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3738
Mailing Address - Country:US
Mailing Address - Phone:225-765-1765
Mailing Address - Fax:225-765-1768
Practice Address - Street 1:4950 ESSEN LN
Practice Address - Street 2:MBPERKINS, 4TH FLOOR, SUITE A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3738
Practice Address - Country:US
Practice Address - Phone:225-765-1765
Practice Address - Fax:225-765-1768
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16255174400000X
LAMD.016255207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1345164Medicaid
MS01027205Medicaid
LA52491CW42Medicare PIN
52491DD21Medicare PIN
LAB63897Medicare UPIN