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1699890376
MICHAEL LOUIS BROUSSARD
LAKE CHARLES, LA
NPI
1699890376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: LA MD025609)
Enumeration Date
2007-03-20
Last Update Date
2022-05-12
Business Address
Dr. MICHAEL LOUIS BROUSSARD M.D.
2770 3RD AVE STE 210
LAKE CHARLES, LA 70601-0404
Phone number: 337-494-6768
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Mailing Address
Dr. MICHAEL LOUIS BROUSSARD M.D.
PO BOX 122579 DEPT 2579
DALLAS, TX 75312-2579
Phone number: 337-494-2921
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