Individual
MARION E MILSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 LINE AVENUE, STE 100, SHREVEPORT, LA 71101
(318) 635-3052
(318) 632-6087
Mailing address
1534 ELIZABETH AVE STE 301, SHREVEPORT, LA 71101-4531
(318) 629-5001
(318) 629-5020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013618
LA
207X00000X
Orthopaedic Surgery Physician
13618
LA
Other
Enumeration date
08/23/2005
Last updated
07/31/2020
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