Individual
DR. CONSTANCE M GISTAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 MEDICAL CENTER BLVD, ATTN: MEDICAL STAFF OFFICE, MARRERO, LA 70072-3147
(504) 349-1119
(504) 349-1146
Mailing address
1101 MEDICAL CENTER BLVD, ATTN: MEDICAL STAFF OFFICE, MARRERO, LA 70072-3147
(504) 349-1119
(504) 349-1146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023979
LA
Other
Enumeration date
12/20/2005
Last updated
08/16/2010
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