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Individual

DR. VAN MICHAEL ARDOIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
603 DUNN ST, HOUMA, LA 70360
(985) 876-6980
(985) 876-6975
Mailing address
603 DUNN ST, HOUMA, LA 70360
(985) 876-6980
(985) 876-6975

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
011488
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1146170
LA
Enumeration date
10/25/2006
Last updated
04/18/2011
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