WAYNE ALVIN GRUNDMEYER

GRETNA, LA
NPI1801903042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: LA  MD 014877)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Dr. WAYNE ALVIN GRUNDMEYER M.D.
120 MEADOWCREST ST #220
GRETNA, LA 70056-5255
Phone number: 504-391-7595
Mailing Address
Dr. WAYNE ALVIN GRUNDMEYER M.D.
120 MEADOWCREST ST #220
GRETNA, LA 70056-5255
Phone number: 504-391-7595