MEDICARE: MWS CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME153299	OTHER	FL	STATE LICENSE
2	MD.204793	OTHER	LA	STATE LICENSE
3	MD.41903	OTHER	AL	STATE LICENSE

General Provider Information

NPI Number	:	1275266827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MWS CONSULTING, LLC

Provider Business Mailing Address
First Line	:	529 JOSEPH ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70115-2039
Country	:	US
Telephone Number	:	504-800-8058
Fax Number	:	504-387-6538

Provider Business Practice Location Address
First Line	:	6028 MAGAZINE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70118-5824
Country	:	US
Telephone Number	:	504-800-8058
Fax Number	:	504-387-6538

Authorized Official
Title or Position	:	OWNER
Name	:	MARK STALDER
Credential	:	MD
Telephone Number	:	225-802-6020

Provider Enumeration Date	:	07/01/2022
Last Update Date	:	07/11/2022

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Directions to “MWS CONSULTING, LLC ” Practice Location

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