Individual
MICHAEL V. ST. ROMAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4231 HIGHWAY 1192, MARKSVILLE, LA 71351-4711
(318) 253-8611
Mailing address
PO BOX 311, 6300 MAIN STREET, ZACHARY, LA 70791-0311
(225) 247-6403
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
018992
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1373621
—
LA
Enumeration date
05/19/2006
Last updated
04/15/2015
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