Individual
DR. MICHAEL DEAN MANUEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 4TH ST, MEDICAL TERRACE, ALEXANDRIA, LA 71301-8423
(318) 473-4632
(318) 473-4633
Mailing address
301 4TH ST, MEDICAL TERRACE, ALEXANDRIA, LA 71301-8423
(318) 473-4632
(318) 473-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13249
LA
Other
Enumeration date
11/07/2005
Last updated
07/08/2007
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