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Dr. Michael Louis Broussard, MD
Hematology & Oncology Physician in Lake Charles, Louisiana
NPI 1699890376

Michael Louis Broussard is a Hematology & Oncology Physician based in Dallas, LA and is specialized in Hematology & Oncology. Michael Louis Broussard practices in Lake Charles, LA and has the professional credentials of MD. The NPI Number for Michael Louis Broussard is 1699890376 and holds a License No. MD025609 (Louisiana).

The current practice location address for Michael Louis Broussard is 2770 3Rd Ave Ste 210, Lake Charles, LA and can be reached out via phone at 337-494-6768 and via fax at 337-494-6792. You can also correspond with Michael Louis Broussard through the mailing address at PO BOX 122579 DEPT 2579, DALLAS, TX - 75312-2579 (mailing address contact number: 337-494-2921).

Location: 2770 3Rd Ave Ste 210, Lake Charles, LA, 75312-2579
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Provider Profile Details
NPI Number
1699890376
Provider Name
Michael Louis Broussard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2770 3Rd Ave Ste 210, Lake Charles, LA, 75312-2579
Phone Number
337-494-6768
Fax Number
337-494-6792
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043281 05 LA
institution
Provider Business Practice Location Address Details
Address
2770 3Rd Ave Ste 210
City
State
Zip
70601-0404
Phone Number
337-494-6768
Fax Number
337-494-6792
person
Provider Business Mailing Address Details
Address
2770 3Rd Ave Ste 210
City
State
Zip
70601-0404
Phone Number
337-494-6768
Fax Number
337-494-6792
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
MD025609 (Louisiana)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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