Individual
MICHAEL S HANEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5500 SHAMROPS DR, KENNER, LA 70065-1554
(504) 491-0737
Mailing address
5500 SHAMROPS DR, KENNER, LA 70065-1554
(504) 491-0737
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
013229
LA
2085R0202X
Diagnostic Radiology Physician
MD013229
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05308333
—
MS
05
—
1305103
—
LA
Enumeration date
05/24/2006
Last updated
05/13/2008
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