MICHAEL TANNER LIBSACK

NEW ORLEANS, LA
NPI1659830974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-16
Last Update Date2021-04-03
Business Address
MICHAEL TANNER LIBSACK DO
1430 TULANE AVE # 8050
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-5904
Mailing Address
MICHAEL TANNER LIBSACK DO
1430 TULANE AVE # 8050
NEW ORLEANS, LA 70112-2632
Phone number: 504-988-5904
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