Individual
DR. MICHAEL PISTORIUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
208 MORRIS DR, MINDEN, LA 71055-3053
(318) 377-8260
(318) 377-9053
Mailing address
208 MORRIS DR, MINDEN, LA 71055-3053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12753
LA
Other
Enumeration date
02/23/2006
Last updated
04/06/2016
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