NPI 1013997410

Michael T Shandersky, CRNA

Practitioner Anesthesiology Physician Lake Charles, LA

Practice location

Address: 751 E Bayou Pines Dr Suite L, Lake Charles, LA 70601-7196
Phone: (337) 436-8700
Fax: (337) 433-5942
Mailing address: 4705 W Quail Hollow Dr, Lake Charles, LA 70605-5126

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 69234 (LA)

Other Anesthesiology providers in Louisiana →

Registry record

NPI: 1013997410
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jan 2006
Record last updated: 26 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.