NPI 1174624712

Jon V. Schellack, M.D. (a Professional Medical Corporation)

Organisation Vascular Surgery Physician Baton Rouge, LA

Practice location

Address: 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144
Phone: (225) 767-5479
Fax: (225) 767-5147

Authorised official

Name: Jon V Schellack
Title: President
Phone: (225) 767-5479

Registered specialties

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X

Other Surgery providers in Louisiana →

Registry record

NPI: 1174624712
Entity type: Organization
NPI issued: 26 Sep 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.