MEDICARE: MICHAEL ZEMKE JR. CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	102567	WI
2	367500000X	Certified Registered Nurse Anesthetist	RN127202	LA

General Provider Information

NPI Number	:	1407235757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ZEMKE JR. CRNA

Provider Business Mailing Address
First Line	:	3510 N CAUSEWAY BLVD STE 404
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70002-3531
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 MEDICAL CENTER BLVD
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-3147
Country	:	US
Telephone Number	:	504-347-5511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2015
Last Update Date	:	12/02/2025

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