Organization
EXTREME ENVIRONMENTAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH W. SIEGEL MD (OWNER)
(504) 464-8686
Entity
Organization
Contact information
Practice address
180 W ESPLANADE AVE STE 108, KENNER, LA 70065-2467
(504) 464-8686
Mailing address
3157 GENTILLY BLVD # 2342, NEW ORLEANS, LA 70122-3872
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447541941
—
NJ
05
—
1699321703
—
LA
Enumeration date
08/14/2019
Last updated
02/19/2026
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