Individual
DR. MICHELLE SLIVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS, ATC
Contact information
Practice address
15813 PAUL VEGA MD DR STE 100, HAMMOND, LA 70403-1431
(985) 230-2663
(985) 230-2665
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(859) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
332584
LA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
332584
LA
Other
Enumeration date
07/03/2017
Last updated
12/30/2022
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