Individual
MARK DEMANUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 MEMORIAL DR, DONALDSONVILLE, LA 70346-4376
(225) 473-7931
Mailing address
PO BOX 224, BELLE ROSE, LA 70341-0224
(225) 715-3120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
012990
LA
Other
Enumeration date
06/06/2006
Last updated
07/09/2007
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