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1528061041
MICHAEL A IVERSON
COVINGTON, LA
NPI
1528061041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: LA 10584R)
Enumeration Date
2005-05-30
Last Update Date
2009-10-30
Business Address
-- MICHAEL A IVERSON M.D.
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4000
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Mailing Address
-- MICHAEL A IVERSON M.D.
120 INNWOOD DR
COVINGTON, LA 70433-9123
Phone number: 985-892-3225
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