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NPI Code Detail

MEDICARE: MARC J VILLIEN M.D.

MEDICARE: MARC J VILLIEN M.D.
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
1207L00000XAnesthesiology Physician020697LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134122476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC J VILLIEN M.D.
Provider Business Mailing Address
First Line : PO BOX 62600 DEPT 1491
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70162-2600
Country : US
Telephone Number : 515-779-5515
Fax Number :
Provider Business Practice Location Address
First Line : 3510 N CAUSEWAY BLVD
Second Line : SUITE 404
City : METAIRIE
State : LA
Zip : 70002-3531
Country : US
Telephone Number : 504-779-5515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 09/14/2009

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