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1477597490
DEREK MIMELES
METAIRIE, LA
NPI
1477597490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: 10645R)
Enumeration Date
2006-06-16
Last Update Date
2023-09-06
Business Address
DEREK MIMELES MD
3510 N CAUSEWAY BLVD STE 404
METAIRIE, LA 70002-3531
Phone number: 504-779-5568
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Mailing Address
DEREK MIMELES MD
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
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