Individual
DR. MICHAEL DALE FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4540 AMBASSADOR CAFFERY PKWY, SUITE A110, LAFAYETTE, LA 70508-6928
(337) 470-0080
(337) 470-6370
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-0080
(337) 470-6370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015039R
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
015039
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301582
—
LA
Enumeration date
12/22/2005
Last updated
08/20/2025
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