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Dr. Wayne Alvin Grundmeyer, MD
Specialist in Gretna, Louisiana
NPI 1801903042

Wayne Alvin Grundmeyer is a Specialist based in Gretna, LA. Wayne Alvin Grundmeyer practices in Gretna, LA and has the professional credentials of MD. The NPI Number for Wayne Alvin Grundmeyer is 1801903042 and holds a License No. MD 014877 (Louisiana).

The current practice location address for Wayne Alvin Grundmeyer is 120 Meadowcrest St, Gretna, LA and can be reached out via phone at 504-391-7595 and via fax at 504-391-7599. You can also correspond with Wayne Alvin Grundmeyer through the mailing address at 120 MEADOWCREST ST, GRETNA, LA - 70056-5255 (mailing address contact number: 504-391-7595).

Location: 120 Meadowcrest St, Gretna, LA, 70056-5255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801903042
Provider Name
Wayne Alvin Grundmeyer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
120 Meadowcrest St, Gretna, LA, 70056-5255
Phone Number
504-391-7595
Fax Number
504-391-7599
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1324299 05 LA
institution
Provider Business Practice Location Address Details
Address
120 Meadowcrest St
City
Gretna
State
Louisiana
Zip
70056-5255
Phone Number
504-391-7595
Fax Number
504-391-7599
person
Provider Business Mailing Address Details
Address
120 Meadowcrest St
City
Gretna
State
Louisiana
Zip
70056-5255
Phone Number
504-391-7595
Fax Number
504-391-7599
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD 014877 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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