Organization
SERGE MARINKOVIC, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGE MARINKOVIC MD (OWNER)
(337) 504-2671
Entity
Organization
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, STE A-220, LAFAYETTE, LA 70508-6928
(337) 504-2671
Mailing address
4540 AMBASSADOR CAFFERY PKWY, STE A-220, LAFAYETTE, LA 70508-6928
(337) 504-2671
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD200543
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093705501
INDIVIDUAL NPI
LA
Enumeration date
01/29/2008
Last updated
01/29/2008
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