Individual
DR. MICHAEL DIRK ORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22080 LA HWY 20, VACHERIE, LA 70090
(225) 265-3061
(225) 265-3062
Mailing address
511 GREEN ST, THIBODAUX, LA 70301-3221
(985) 446-8258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009985
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1105155
—
LA
Enumeration date
08/03/2006
Last updated
07/08/2007
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