Individual
STANLEY MICHAEL BIENASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 MCMILLAN RD, WEST MONROE, LA 71291-5327
(318) 329-4313
(318) 329-4316
Mailing address
3302 LAKE DESIARD DR, MONROE, LA 71201-2036
(318) 398-0434
(318) 398-0902
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
018339
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1375519
—
LA
Enumeration date
10/10/2006
Last updated
07/09/2007
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