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Organization

SERGE P MARINKOVIC MD FEMALE RECONSTRUCTIVE SURGERY LLC

Active
Other names
SPM FEMALE RECONSTRUCTIVE SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SERGE P MARINKOVIC MD (PRESIDENT)
(337) 504-2671
Entity
Organization

Contact information

Practice address
4540 AMBASSADOR CAFFERY PKWY, SUITE A220, LAFAYETTE, LA 70508-6928
(337) 504-2671
(337) 504-2673
Mailing address
4540 AMBASSADOR CAFFERY PKWY, SUITE A220, LAFAYETTE, LA 70508-6928
(337) 504-2671
(337) 504-2673

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.200543
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD.200543
LA
208800000X
Urology Physician
Primary
MD.200543
LA

Other

Enumeration date
10/18/2007
Last updated
06/21/2018
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