Individual
MICHAEL EDWARD HAGENSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
136 S ROMAN ST, LSUHSC, NEW ORLEANS, LA 70112-3095
(504) 903-6569
(504) 903-6842
Mailing address
533 BOLIVAR ST, LSUHSC, NEW ORLEANS, LA 70112-1349
(504) 903-6569
(504) 903-6842
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
12021R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02558050
—
MS
05
—
1532347
—
LA
05
—
53234
—
LA
01
—
80387
LSUHSC
LA
Enumeration date
07/19/2006
Last updated
11/07/2014
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