Organization
MICHAEL S HANEMANN JR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STEPHEN HANEMANN JR. M.D. (DOCTOR)
(504) 460-3821
Entity
Organization
Contact information
Practice address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 766-2166
(225) 766-2164
Mailing address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 766-2166
(225) 766-2164
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
025571
LA
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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