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MARY HANISEE

Surgery Physician

NPI: 1760771356IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Surgery PhysicianPrimary

Surgery

Code: 208600000X

078665(GA)

CMS Specialties

PrimaryGENERAL SURGERY

Education

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT

Class of 2011

Contact & Hours

Via practice · 2 locations total

Address
452 Mayfair Dr
Bossier City, LA 71111

Quick Facts

NPI
1760771356
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
2
Years in Practice
15

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