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John Dewaard, DO — NPI 1629647805, Baton Rouge, LA | NPI Central

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NPI 1629647805

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John Dewaard, DO

NPI 1629647805 · Sports Medicine (Family Medicine) Physician · Baton Rouge, LA

Provider details

NPI number: 1629647805
Entity type: Individual
Primary specialty: Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Male
Sole proprietor: No
License: 347471 (LA)

Specialties & taxonomies

Sports Medicine (Family Medicine) PhysicianPrimary207QS0010XLicense 347471 (LA)
Allopathic & Osteopathic Physicians
Family Medicine Physician207Q00000XLicense 5101028098 (MI)
Allopathic & Osteopathic Physicians

Practice location

10310 the Grove Blvd

Baton Rouge, LA 70836-6455

Phone: (225) 388-6630

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

10310 the Grove Blvd

Baton Rouge, LA 70836-6455

Additional practice locations (1)

5444 Burbank Dr
Baton Rouge, LA 70820-4011
Phone: (225) 388-6900

Registry dates

Enumerated: 2021-06-22
Last updated: 2025-10-17
Certified: 2025-10-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.