Organization
DEGAN J DANSEREAU MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEGAN DANSEREAU MD (OWNER)
(504) 897-0201
Entity
Organization
Contact information
Practice address
3705 COLISEUM ST, NEW ORLEANS, LA 70115-3708
(504) 897-0201
(504) 891-5859
Mailing address
3705 COLISEUM ST, NEW ORLEANS, LA 70115-3708
(504) 897-0201
(504) 891-5859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
024911
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1424056
—
LA
Enumeration date
06/21/2006
Last updated
02/09/2008
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