# JOSHUA M. GROETSCH, MD LLC

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

## Provider details

- **NPI number:** 1740865864
- **Authorized official:** JOSHUA MARK GROETSCH MD (OWNER)
- **Authorized official phone:** (504) 460-1848

## Contact information

- **Practice address:** 2800 VETERANS BLVD, SUITE 125, METAIRIE, LA 70002
- **Practice address phone:** (504) 833-5755
- **Practice address fax:** (504) 832-9629
- **Mailing address:** 2800 VETERANS BLVD, SUITE 125, METAIRIE, LA 70002
- **Mailing address phone:** (504) 833-5755
- **Mailing address fax:** (504) 832-9629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 03/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1045284 | — | LA |
| 05 | — | 2444506 | — | LA |