# MARK JUNEAU JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669421533
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 12292 | LA | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/09/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1181218 | — | LA |
| 01 | — | 1792217 | MEDICAID GROUP | LA |
| 01 | — | 200009061 | RR MEDICARE INDIVIDUAL | LA |
| 01 | — | 5B353 | MEDICARE GROUP | LA |
| 01 | — | CK4990 | RAILROAD MEDICARE GROUP | LA |
