Individual
DR. MICHAEL STEPHEN HANEMANN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 766-2166
Mailing address
5233 DIJON DR, BATON ROUGE, LA 70808-4692
(225) 766-2166
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
28714
AL
208200000X
Plastic Surgery Physician
Primary
MD.025571
LA
Other
Enumeration date
05/03/2007
Last updated
07/23/2014
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