Individual
DR. MICHAEL DAVID DILEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN STE 400, BATON ROUGE, LA 70809-3738
(225) 765-1765
(225) 765-1768
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0002
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
021089
LA
207YX0602X
Otolaryngic Allergy Physician
021089
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1974382
—
LA
Enumeration date
07/21/2005
Last updated
08/31/2021
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