Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PD0141 | LA |
NPI | 1144293853 |
---|---|
Provider Name | Dr. Maria Markiewicz |
First Address | Metairie, LA 70001-1118 |
Second Address | Metairie, LA 70001-1118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2006 |
Last Update Date | 02/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VO5686 | (02) | LA |