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Individual

MICHAEL F DZEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4950 ESSEN LN, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 767-1335
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 215-1281
(225) 215-1380

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
C1-0005595
DE
2085R0001X
Radiation Oncology Physician
D0054595
MD
2085R0001X
Radiation Oncology Physician
Primary
MD.021231
LA
2085R0001X
Radiation Oncology Physician
MD052967L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000935301
DE
05
233604900
MD
01
920004715
RAILROAD MEDICARE
DE
Enumeration date
06/01/2006
Last updated
04/15/2025
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