Derek Mimeles, MD
Specialist in Metairie, LA. Individual provider (NPI-1).
NPI number1477597490
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1477597490
- Entity type
- Individual (NPI-1)
- Name
- Derek Mimeles
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2006
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 10645R | – | Yes |
Practice location
3510 N Causeway Blvd Ste 404Metairie, LA 70002-3531
Phone 504-779-5568
Mailing address
744 W Michigan AveJackson, MI 49201-1909
Phone 517-787-6440 · Fax 517-787-6440
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