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1801903042
WAYNE ALVIN GRUNDMEYER
GRETNA, LA
NPI
1801903042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA MD 014877)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Dr. WAYNE ALVIN GRUNDMEYER M.D.
120 MEADOWCREST ST #220
GRETNA, LA 70056-5255
Phone number: 504-391-7595
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Mailing Address
Dr. WAYNE ALVIN GRUNDMEYER M.D.
120 MEADOWCREST ST #220
GRETNA, LA 70056-5255
Phone number: 504-391-7595
Copy
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