# NORTHSHORE ANESTHESIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033410212
- **Authorized official:** DR. ERIC D GRIENER M.D. (MANAGER)
- **Authorized official phone:** (985) 542-3336

## Contact information

- **Practice address:** 17174 S I 12 SERVICE RD, HAMMOND, LA 70403-2408
- **Practice address phone:** (985) 542-3336
- **Practice address fax:** (985) 542-0733
- **Mailing address:** 2831 MONROE ST, MANDEVILLE, LA 70448-4936
- **Mailing address phone:** (985) 542-3336
- **Mailing address fax:** (985) 542-0733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 019548 | LA | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010