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Individual

CARRIE MICHAEL GERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 675-8775
Mailing address
1541 KINGS HWY DEPT OF, SHREVEPORT, LA 71103-4228

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
021594
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1537829
LA
01
5A341F600
MEDICARE - PTAN
LA
Enumeration date
07/09/2006
Last updated
07/23/2025
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