Individual
DR. MICHAEL EDWARD ISABELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4837 LAPALCO BLVD, MARRERO, LA 70072-4325
(504) 703-3260
Mailing address
1927 CORPORATE SQUARE DR STE C, SLIDELL, LA 70458-3166
(985) 649-6520
(985) 649-6520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10112R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1978787
—
LA
Enumeration date
07/20/2006
Last updated
12/07/2020
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