Individual
MICHAEL SINCLAIR BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 E MAIN ST, SUITE 106, NEW IBERIA, LA 70560-3725
(337) 321-6288
(504) 897-2436
Mailing address
124 E MAIN ST, SUITE 106, NEW IBERIA, LA 70560-3725
(337) 321-6288
(504) 897-2436
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD.203488
LA
2084P0800X
Psychiatry Physician
236709
MA
2084P0800X
Psychiatry Physician
249091
NY
2084P0800X
Psychiatry Physician
Primary
MD.203488
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108531
—
LA
Enumeration date
03/22/2008
Last updated
08/01/2023
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