Individual
DR. MICHAEL J PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PSYCHIATRIST
Contact information
Practice address
1610 7TH ST, MAMOU, LA 70554
(337) 468-0111
Mailing address
PO BOX 12698, ALEXANDRIA, LA 71315
(318) 627-6280
(318) 627-6280
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LA11703
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1133931
—
LA
Enumeration date
01/12/2007
Last updated
07/08/2007
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