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Individual

MR. MICHAEL E BENOIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3601 HOUMA BLVD STE 203, METAIRIE, LA 70006-4301
(504) 779-2667
(504) 889-7120
Mailing address
3601 HOUMA BLVD STE 203, METAIRIE, LA 70006-4301
(504) 779-2667
(504) 889-7120

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.200288
LA
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07721840
MS
05
1800902
LA
Enumeration date
03/18/2009
Last updated
07/21/2022
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