Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MD203634 | LA |
Y | 207QS0010X | Family Doctor - Sports Medicine | MD203634 | LA |
NPI | 1194914614 |
---|---|
Provider Name | Michael Paul Zeringue |
First Address | Metairie, LA 70006-2921 |
Second Address | Metairie, LA 70006-2921 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 27/05/2010 |