Individual
ANDREW J MINARDI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
809 CHERRY ST, MAMOU, LA 70554-2223
(337) 468-5399
(888) 317-2910
Mailing address
809 CHERRY ST, MAMOU, LA 70554-2223
(337) 468-5399
(888) 317-2910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
022318
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1495077
—
LA
Enumeration date
10/04/2005
Last updated
12/02/2016
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