Healthcare Provider Details

I. General information

NPI: 1144293853
Provider Name (Legal Business Name): MARIA MARKIEWICZ DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2006
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 HARVARD AVE FL 1
METAIRIE LA
70001-1172
US

IV. Provider business mailing address

2520 HARVARD AVE FL 1
METAIRIE LA
70001-1172
US

V. Phone/Fax

Practice location:
  • Phone: 504-454-3004
  • Fax: 504-454-3075
Mailing address:
  • Phone: 504-454-3004
  • Fax: 504-454-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPD0141
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: