Individual
BRENDON SUMICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3409 N HULLEN ST, METAIRIE, LA 70002-3486
(504) 888-2600
(504) 456-9596
Mailing address
3409 N HULLEN ST, METAIRIE, LA 70002-3486
(504) 888-2600
(504) 456-9596
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA204189
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956601
—
LA
Enumeration date
03/20/2009
Last updated
12/30/2016
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