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Organization

MICHAEL W DUPRE, M.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL W DUPRE M.D. (DOCTOR)
(225) 755-3070
Entity
Organization

Contact information

Practice address
8595 PICARDY AVENUE, BATON ROUGE, LA 70809-3670
(225) 819-1186
(225) 819-1139
Mailing address
P.O. BOX 85168, BATON ROUGE, LA 70816-0000
(225) 819-1186
(225) 819-1139

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD.022121
LA
305R00000X
Preferred Provider Organization
022121
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1661767
LA
Enumeration date
10/15/2010
Last updated
03/16/2012
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