Individual
MICHAEL DEAN KOTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1525 DICKORY AVE, HARAHAN, LA 70123-2168
(504) 818-0006
(504) 818-0095
Mailing address
1525 DICKORY AVE, HARAHAN, LA 70123-2168
(504) 818-0006
(504) 818-0095
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
08650R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1916633
—
LA
Enumeration date
11/02/2005
Last updated
08/27/2010
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