Individual provider · Type 1 NPI

Wayne Alvin Grundmeyer, MD

Specialist · Gretna, LA

NPI number 1801903042 Active

Practice location

120 Meadowcrest St, #220
Gretna, LA 70056-5255

Call (504) 391-7595 Map

Fax (504) 391-7599

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD 014877 (LA)

Specialist: 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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About NPI 1801903042

Wayne Alvin Grundmeyer, MD's National Provider Identifier is 1801903042, issued on Aug 24, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gretna, LA. The record was last updated on Jul 8, 2007.