# GRUNER CLINIC, LLC

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

## Provider details

- **NPI number:** 1043403918
- **Authorized official:** DR. RACHEL MIER GRUNER M.D. (OWNER)
- **Authorized official phone:** (225) 658-5959

## Contact information

- **Practice address:** 6180 MAIN ST, SUITE B, ZACHARY, LA 70791-4069
- **Practice address phone:** (225) 658-5959
- **Practice address fax:** (225) 658-9998
- **Mailing address:** 6180 MAIN ST, SUITE B, ZACHARY, LA 70791-4069
- **Mailing address phone:** (225) 658-5959
- **Mailing address fax:** (225) 658-9998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 024988 | LA | Yes |
| 208600000X | Surgery Physician | 023672 | LA | — |

## Other

- **Enumeration date:** 08/23/2007
- **Last updated:** 08/23/2007