Individual
DR. MICHAEL KEVIN PUYAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 RUE DE LA VIE ST STE 402, BATON ROUGE, LA 70817-5129
(225) 924-7588
Mailing address
500 RUE DE LA VIE ST STE 402, BATON ROUGE, LA 70817-5129
(225) 215-7588
(225) 928-8860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017436
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55136
MEDICARE PTAN
LA
Enumeration date
01/29/2007
Last updated
01/18/2019
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