Individual provider · Type 1 NPI
Andrew Alden Gruezke
General Practice Physician · Metairie, LA
NPI number
1669714440
Active
Practice location
246 Bonnabel Blvd
Metairie, LA 70005-3739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | MD.207209 (LA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1669714440
Andrew Alden Gruezke's National Provider Identifier is 1669714440, issued on Mar 20, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Metairie, LA. The record was last updated on Oct 11, 2017.