Individual
DR. MICHAEL L. MARISTANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1532 TULANE AVE, NEW ORLEANS, LA 70112-2860
(504) 903-3087
(504) 568-4633
Mailing address
2020 GRAVIER ST, ROOM 759, NEW ORLEANS, LA 70112-2272
(504) 903-3087
(504) 568-4633
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
025287
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025287
MEDICAL LICENSE
LA
01
—
29038
STATE CDS
LA
Enumeration date
07/20/2006
Last updated
03/07/2023
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