Dr. Walter Michael Bortz, M.D.
Internal Medicine in Marrero, LA. Individual provider (NPI-1).
NPI number1225012016
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1225012016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Walter Michael Bortz
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2005
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 307621 | LA | Yes |
| 207R00000X | Internal Medicine | G83310 | CA |
Practice location
1101 Medical Center BlvdMarrero, LA 70072-3147
Phone 504-349-1656 · Fax 504-349-1933
Mailing address
1101 Medical Center BlvdMarrero, LA 70072-3147
Phone 504-349-1656 · Fax 504-349-1933
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