| NPI | 1023247582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN HANEMANN Doctor 504-460-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 025571) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |