Individual
DR. MICHAEL STANLEY CONNERS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 1008, BATON ROUGE, LA 70808-4300
(225) 766-0416
(225) 769-9212
Mailing address
4444 BLUEBONNET DR, BATON ROUGE, LA 70809-2644
(225) 293-3430
(225) 293-3459
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
14097R
LA
2086S0129X
Vascular Surgery Physician
22561
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06925021
—
MS
05
—
1045063
—
LA
Enumeration date
04/18/2006
Last updated
06/21/2024
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