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Individual

MR. MICHAEL BRUNET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
180 W ESPLANADE AVE, KENNER, LA 70065-2467
(504) 468-8600
Mailing address
605 HESTER AVE, RIVER RIDGE, LA 70123-1406
(504) 782-4236

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary

Other

Enumeration date
01/10/2014
Last updated
08/18/2014
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