Individual
DR. MATTHEW RYAN MIGNERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-5263
Mailing address
424 22ND ST, NEW ORLEANS, LA 70124-1313
(314) 479-5777
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
340611
LA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
A182830
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2018
Last updated
05/10/2024
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