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Individual

DR. MICHAEL HAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 RUE DE LA VIE ST, STE 201, BATON ROUGE, LA 70817-5128
(225) 216-1118
(225) 216-1119
Mailing address
500 RUE DE LA VIE ST, STE 201, BATON ROUGE, LA 70817-5128
(225) 751-2778
(225) 753-2778

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14794R
LA
208600000X
Surgery Physician
MD.14794R
LA
2086X0206X
Surgical Oncology Physician
Primary
MD.14794R
LA

Other

Enumeration date
07/03/2006
Last updated
02/20/2023
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